five year trends - maricopa

Maricopa County Health Status Report

2008-2012

Prepared by the Maricopa County Department of Public Health Office of Epidemiology July. 2014 Maricopa County

Five Year Trends Reference Tables

Acknowledgements This report was prepared by the Maricopa County Department of Public Health (MCDPH), Office of Epidemiology. Keely Clary, Return on Investment Epidemiologist Hovi Nguyen, Epidemiologist Tom Hulse, Epidemiologist Bianca Salas, Communicable Disease Investigator

Jackie Ward, Epidemiologist Supervisor Kate Goodin, Epidemiology Manager

Rebecca Sunenshine, Medical Director and Administrator of Disease Control Division The authors wish to thank the following individuals and organizations for contributing numeric data, consultation, and other information used in this report. Their assistance is much appreciated.

Tammy Sylvester, Ron Klein, Vjollca Berisha– Maricopa County Department of Public Health Office of Epidemiology

Tom Mickey, Siru Prasai, Angelito Bravo, Matthew Parker Maricopa County Department of Public Health, Division of Clinical Services

Julia Skinner, Nicholas Bishop, Donna Courtney, Teresa Jue, Jonathan Gonzales, Judy Bass, and James Blackwell, Arizona Department of Health Services

For additional copies of this report, please call the Maricopa County Department of Public Health, Office of Epidemiology at 602.372.2605. This report may also be found at http://www.maricopa.gov/publichealth/Services/EPI/Reports/ under “Health Status Reports.” Permission to quote or reproduce materials from this report is granted when due acknowledgement is made. Suggested citation: Maricopa County Department of Public Health, Office of Epidemiology. Maricopa County Health Status Report 2008-2012, Five Year Trends: Reference Tables. Phoenix (AZ): 2014.

http://www.maricopa.gov/publichealth/Services/EPI/Reports/

Maricopa County Health Status Report 2008-2012

Five Year Trends: Reference Tables

Table of Contents

Introduction 1 I. Maricopa County Population Statistics – 2008-2012 Tables 2 Table 1.01 Population Estimates by Race/Ethnicity, Age, and Sex, 2012 3 Table 1.02 Population Estimates by Sex, Age, and Race/Ethnicity, 2012 4 Table 1.03 Population Estimates by Race/Ethnicity, Age, and Sex, 2011 5 Table 1.04 Population Estimates by Sex, Age, and Race/Ethnicity, 2011 6 Table 1.05 Population Estimates by Race/Ethnicity, Age, and Sex, 2010 7 Table 1.06 Population Estimates by Sex, Age, and Race/Ethnicity, 2010 8 Table 1.07 Population Estimates by Race/Ethnicity, Age, and Sex, 2009 9 Table 1.08 Population Estimates by Sex, Age, and Race/Ethnicity, 2009 10 Table 1.09 Population Estimates by Race/Ethnicity, Age, and Sex, 2008 11 Table 1.10 Population Estimates by Sex, Age, and Race/Ethnicity, 2008 12 Table 1.11 Maricopa County, Phoenix, and Arizona Population 1980-2012 13 II. Maricopa County Five-Year Health Trends 14 Table 2.01a Selected Underlying Causes of Death 2008-2012, Number of Deaths 15 Table 2.01b Selected Underlying Causes of Death 2008-2012, Crude Death Rate per 100,000 Residents 16 Table 2.02a Other Selected Underlying Causes of Death 2008-2012, Number of Deaths 17 Table 2.02b Other Selected Underlying Causes of Death 2008-2012, Crude Death Rate per 100,000

Residents 18

Table 2.03a Firearm, Drug, and Alcohol Induced and Related Deaths 2008-2012, Number of Deaths 19 Table 2.03b Firearm, Drug, and Alcohol Induced and Related Deaths 2008-2012, Crude Death Rate per

100,000 Residents 19

Table 2.04a Selected Maternal & Child Health Indicators, 2008-2012 20 Table 2.04b Selected Maternal & Child Health Indicator Percentages, 2008-2012 21 Table 2.05 Number of Births by Maternal Indicators for Infant Mortality Rate 2008-2012 22 Table 2.06a Infant Mortality by Race/Ethnicity of Mother, 2008-2012 (Linked) 22 Table 2.06b Infant Mortality Rates by Race/Ethnicity of Mother, 2008-2012 (Linked), Infant Mortality per

1,000 Live Births 22

Table 2.07a Infant Mortality by Age of Mother, 2008-2012 (Linked) 23 Table 2.07b Infant Mortality Rates by Age of Mother, 2008-2012 (Linked), Infant Mortality per 1,000 Live

Births 23

Table 2.08a Infant Mortality by Educational Level of Mother, 2008-2012 (Linked) 24 Table 2.08b Infant Mortality Rates by Educational Level of Mother, 2008-2012 (Linked), Infant Mortality per


Table 2.09a Infant Mortality by Birth weight, 2008-2012 (Linked) 25 Table 2.09b Infant Mortality Rates by Birth weight, 2008-2012 (Linked), Infant Mortality per 1,000 Live Births 25 Table 2.10 Infant Mortality and Rates by Age of Infant, 2008-2012 (Linked & Unlinked) 25 Table 2.11a Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2008-2012 (Linked) 26 Table 2.11b Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2008-2012 (Linked),

Infant Mortality per 1,000 Live Births 26

Table 2.12a Infant Mortality by Race/Ethnicity of Infant, 2008-2012 (Unlinked) 27


Five Year Trends: Reference Tables

Table of Contents

Table 2.12b Infant Mortality Rates by Race/Ethnicity of Infant, 2008-2012 (Unlinked), Infant Mortality per


Table 2.13a Number of Confirmed and Probable Cases of Selected Reported Diseases, 2008-2012 28 Table 2.13b Case Rates per 100,000 Residents for Selected Reportable Diseases, 2008-2012 29 Table 2.14a Congenital Syphilis by Race/Ethnicity and Year, Number of Cases, 2008-2012 30 Table 2.14b Congenital Syphilis by Race/Ethnicity and Year, Case Rates per 100,000 Live Births, 2008-

2012 30

Table 2.15 Hansen’s Disease Prevalence 30 Table 2.16a Primary Diagnosis Groups, Inpatient Hospitalizations, 2008-2012, Number of Discharges 31 Table 2.16b Primary Diagnosis Groups, Inpatient Hospitalizations, 2008-2012, Crude Hospitalization Rate

per 100,000 Residents 34

Table 2.17a Primary Diagnosis Groups, Emergency Department, 2008-2012, Number of Discharges 37 Table 2.17b Primary Diagnosis Groups, Emergency Department, 2008-2012, Crude Hospitalization Rate

per 100,000 Residents 40

III. Technical Notes 43

Introduction This report provides health status information for the years 2008 to 2012 for residents of Maricopa County, Arizona. It includes data for mortality (death), communicable diseases, and natality (birth), as well as information on the size and demographic distribution of the population. For each disease or health indicator, the following information is provided: • Number of cases in the county

• Mortality Disease Example: 5,868 residents of Maricopa County died due to cancer in 2012.* • Communicable Disease Example: 867 residents of Maricopa County were diagnosed with a

confirmed or probable case of Pertussis in 2012. • Natality (Birth) Example: There were 637 infants born with a very low birth weight (less than 1500

grams) in 2012. • Rate or percentage of cases in the county

• Mortality Disease Example: For every 100,000 residents of Maricopa County, 148.8 died due to

cancer in 2012.* • Communicable Disease Example: For every 100,000 residents of Maricopa County, 22.0 were

diagnosed with Pertussis in 2012. • Natality (Birth) Example: Among all live births in 2012, 1.2% were born with a very low birth

weight.

All data in this report are for calendar years 2008 through 2012. Information on data sources and methodology are in Section III – Technical Notes. *Except where noted, the cause of death is the underlying cause of death, which is the condition that began the sequence of death. See Technical Notes for more information on the underlying cause of death.


I. Maricopa County Population Statistics 2008-2012 Tables

Maricopa County Five-Year Trends Population Statistics

Table 1.01 Population Estimates by Sex, Age, and Race/Ethnicity, 2012

Age by Sex

Race/Ethnicity by Sex

Age Males Females Total

Race/Ethnicity Males Females No. % No. % No. %

No. % No. %

0-4 139,924 7.2% 134,235 6.7% 274,159 7.0%

White 1,121,040 57.5% 1,161,501 58.3% 5-9 146,630 7.5% 140,381 7.0% 287,011 7.3%

Hispanic 595,305 30.5% 586,689 29.5%

10-14 144,728 7.4% 138,735 7.0% 283,463 7.2%

African American 96,631 5.0% 93,659 4.7% 15-19 139,768 7.2% 131,531 6.6% 271,299 6.9%

Amer. Ind., Non-Hisp 29,434 1.5% 33,428 1.7%

20-24 145,910 7.5% 139,243 7.0% 285,153 7.2%

Asian 71,216 3.7% 79,095 4.0% 25-34 282,391 14.5% 274,841 13.8% 557,232 14.1%

Multiple Races 36,562 1.9% 37,609 1.9%

35-44 266,104 13.6% 265,855 13.3% 531,959 13.5%

45-54 253,621 13.0% 259,903 13.0% 513,524 13.0%

55-64 202,252 10.4% 224,342 11.3% 426,594 10.8%

Total

1,950,188

1,991,981 65-74 135,459 6.9% 154,693 7.8% 290,152 7.4%

75-84 69,976 3.6% 86,834 4.4% 156,810 4.0%

85+ 23,425 1.2% 41,388 2.1% 64,813 1.6%

Total 1,950,188

1,991,981

3,942,169

Age by Race/Ethnicity

Age White Hispanic African American American Indian Asian Multiple Races

Total

No. % No. % No. % No. % No. % No. %

No. 0-4 108,518 4.8% 124,913 10.6% 14,269 7.5% 5,195 8.3% 9,550 6.4% 11,714 15.8%

274,159

5-9 119,355 5.2% 126,666 10.7% 14,765 7.8% 5,322 8.5% 10,295 6.8% 10,608 14.3%

287,011 10-14 124,575 5.5% 119,883 10.1% 15,114 7.9% 4,858 7.7% 9,549 6.4% 9,484 12.8%

283,463

15-19 122,382 5.4% 111,759 9.5% 15,627 8.2% 5,066 8.1% 8,680 5.8% 7,785 10.5%

271,299 20-24 138,129 6.1% 106,013 9.0% 17,240 9.1% 6,926 11.0% 10,230 6.8% 6,615 8.9%

285,153

25-34 289,625 12.7% 187,978 15.9% 29,737 15.6% 11,867 18.9% 27,994 18.6% 10,031 13.5%

557,232 35-44 292,855 12.8% 167,974 14.2% 27,018 14.2% 8,856 14.1% 28,178 18.7% 7,078 9.5%

531,959

45-54 336,873 14.8% 119,416 10.1% 25,123 13.2% 7,355 11.7% 19,768 13.2% 4,989 6.7%

513,524 55-64 320,473 14.0% 67,018 5.7% 17,722 9.3% 4,373 7.0% 13,764 9.2% 3,244 4.4%

426,594

65-74 237,754 10.4% 32,072 2.7% 8,635 4.5% 2,108 3.4% 7,905 5.3% 1,678 2.3%

290,152 75-84 134,139 5.9% 13,991 1.2% 3,780 2.0% 712 1.1% 3,475 2.3% 713 1.0%

156,810

85+ 57,863 2.5% 4,311 0.4% 1,260 0.7% 224 0.4% 923 0.6% 232 0.3%

64,813

Total 2,282,541

1,181,994

190,290

62,862

150,311

74,171

3,942,169 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2012.


Table 1.02 Population Estimates by Sex, Age, and Race/Ethnicity, 2012 Females

Age White Hispanic African American American Indian Asian Multiple Races Total

Non-Hispanic Hispanic

No. % No. % No. % No. % No. % No. % No. % No. 0-4 53,063 4.6% 58,728 10.4% 6,897 7.4% 2,591 7.8% 2,429 11.9% 4,740 6.0% 5,787 15.4% 134,235 5-9 58,142 5.0% 59,834 10.6% 7,161 7.6% 2,679 8.0% 2,324 11.4% 5,116 6.5% 5,125 13.6% 140,381 10-14 60,730 5.2% 56,757 10.0% 7,270 7.8% 2,358 7.1% 2,122 10.4% 4,810 6.1% 4,688 12.5% 138,735 15-19 58,943 5.1% 52,426 9.3% 7,591 8.1% 2,522 7.5% 1,982 9.7% 4,245 5.4% 3,822 10.2% 131,531 20-24 67,942 5.8% 49,294 8.7% 8,117 8.7% 3,572 10.7% 2,133 10.4% 4,816 6.1% 3,369 9.0% 139,243 25-29 71,829 6.2% 44,158 7.8% 7,222 7.7% 3,372 10.1% 1,731 8.5% 6,624 8.4% 2,815 7.5% 137,751 30-34 70,932 6.1% 44,173 7.8% 7,128 7.6% 3,033 9.1% 1,593 7.8% 7,757 9.8% 2,474 6.6% 137,090 35-39 67,208 5.8% 43,210 7.6% 6,552 7.0% 2,537 7.6% 1,376 6.7% 7,682 9.7% 2,005 5.3% 130,570 40-44 77,358 6.7% 38,737 6.8% 6,574 7.0% 2,251 6.7% 1,214 5.9% 7,453 9.4% 1,698 4.5% 135,285 45-49 81,321 7.0% 31,631 5.6% 6,249 6.7% 2,238 6.7% 1,033 5.1% 5,643 7.1% 1,406 3.7% 129,521 50-54 89,221 7.7% 25,851 4.6% 6,289 6.7% 1,940 5.8% 894 4.4% 4,995 6.3% 1,192 3.2% 130,382 55-59 85,782 7.4% 19,522 3.4% 4,899 5.2% 1,431 4.3% 614 3.0% 4,304 5.4% 987 2.6% 117,539 60-64 82,548 7.1% 14,262 2.5% 4,030 4.3% 1,087 3.3% 379 1.9% 3,715 4.7% 782 2.1% 106,803 65-69 72,121 6.2% 10,210 1.8% 2,656 2.8% 751 2.2% 255 1.2% 2,719 3.4% 563 1.5% 89,275 70-74 53,801 4.6% 6,760 1.2% 1,978 2.1% 493 1.5% 156 0.8% 1,870 2.4% 360 1.0% 65,418 75+ 110,560 9.5% 10,686 1.9% 3,046 3.3% 573 1.7% 215 1.1% 2,606 3.3% 536 1.4% 128,222

Total 1,161,501

566,239

93,659

33,428

20,450

79,095

37,609

1,991,981

Males

0-4 55,455 4.9% 61,232 10.7% 7,372 7.6% 2,604 8.8% 2,524 11.7% 4,810 6.8% 5,927 16.2% 139,924 5-9 61,213 5.5% 62,061 10.8% 7,604 7.9% 2,643 9.0% 2,447 11.4% 5,179 7.3% 5,483 15.0% 146,630 10-14 63,845 5.7% 58,901 10.3% 7,844 8.1% 2,500 8.5% 2,103 9.8% 4,739 6.7% 4,796 13.1% 144,728 15-19 63,439 5.7% 55,283 9.6% 8,036 8.3% 2,544 8.6% 2,068 9.6% 4,435 6.2% 3,963 10.8% 139,768 20-24 70,187 6.3% 52,427 9.1% 9,123 9.4% 3,354 11.4% 2,159 10.0% 5,414 7.6% 3,246 8.9% 145,910 25-29 74,263 6.6% 46,661 8.1% 7,877 8.2% 2,919 9.9% 1,917 8.9% 6,751 9.5% 2,543 7.0% 142,931 30-34 72,601 6.5% 45,935 8.0% 7,510 7.8% 2,543 8.6% 1,810 8.4% 6,862 9.6% 2,199 6.0% 139,460 35-39 68,336 6.1% 42,533 7.4% 6,870 7.1% 2,153 7.3% 1,515 7.0% 6,685 9.4% 1,800 4.9% 129,892 40-44 79,953 7.1% 38,101 6.6% 7,022 7.3% 1,915 6.5% 1,288 6.0% 6,358 8.9% 1,575 4.3% 136,212 45-49 80,195 7.2% 32,477 5.7% 6,457 6.7% 1,655 5.6% 1,140 5.3% 4,985 7.0% 1,252 3.4% 128,161 50-54 86,136 7.7% 25,485 4.4% 6,128 6.3% 1,522 5.2% 905 4.2% 4,145 5.8% 1,139 3.1% 125,460 55-59 78,706 7.0% 18,002 3.1% 5,063 5.2% 1,098 3.7% 678 3.2% 3,225 4.5% 884 2.4% 107,656 60-64 73,437 6.6% 13,162 2.3% 3,730 3.9% 757 2.6% 399 1.9% 2,520 3.5% 591 1.6% 94,596 65-69 64,372 5.7% 8,731 1.5% 2,449 2.5% 551 1.9% 254 1.2% 1,888 2.7% 448 1.2% 78,693 70-74 47,460 4.2% 5,565 1.0% 1,552 1.6% 313 1.1% 141 0.7% 1,428 2.0% 307 0.8% 56,766 75+ 81,442 7.3% 7,245 1.3% 1,994 2.1% 363 1.2% 156 0.7% 1,792 2.5% 409 1.1% 93,401

Total 1,121,040

573,801

96,631

29,434

21,504

71,216

36,562



Table 1.03 Population Estimates by Sex, Age, and Race/Ethnicity , 2011

Age by Sex




No. % No. %

0-4 142,451 7.4% 136,523 7.0% 278,974 7.2%

White 1,110,778 57.8% 1,149,908 58.7% 5-9 143,852 7.5% 138,011 7.0% 281,863 7.3%

Hispanic 586,430 30.5% 576,166 29.4%

10-14 143,262 7.5% 137,444 7.0% 280,706 7.2%


American Indian 29,085 1.5% 33,061 1.7%

20-24 143,255 7.5% 135,231 6.9% 278,486 7.2%

Asian 67,035 3.5% 74,588 3.8% 25-34 279,501 14.6% 272,190 13.9% 551,691 14.2%

Multiple Races 34,823 1.8% 35,799 1.8%

35-44 263,992 13.7% 262,571 13.4% 526,563 13.6%

45-54 251,053 13.1% 257,937 13.2% 508,990 13.1%

55-64 197,641 10.3% 220,140 11.2% 417,781 10.8%

Total

1,920,775

1,959,469 65-74 125,418 6.5% 143,259 7.3% 268,677 6.9%

75-84 67,775 3.5% 84,888 4.3% 152,663 3.9%

85+ 22,519 1.2% 40,156 2.0% 62,675 1.6%

Total 1,920,775

1,959,469

3,880,244



Total

No. % No. % No. % No. % No. % No. %

No.

0-4 111,113 4.9% 127,594 11.0% 14,020 7.7% 5,306 8.5% 9,500 6.7% 11,441 16.2%

278,974 5-9 118,491 5.2% 124,219 10.7% 14,102 7.7% 5,177 8.3% 9,740 6.9% 10,134 14.3%

281,863

10-14 124,660 5.5% 118,461 10.2% 14,584 8.0% 5,039 8.1% 8,955 6.3% 9,007 12.8%

280,706 15-19 123,068 5.4% 111,539 9.6% 15,642 8.6% 5,192 8.4% 8,241 5.8% 7,493 10.6%

271,175

20-24 137,437 6.1% 102,888 8.8% 16,190 8.9% 6,916 11.1% 9,155 6.5% 5,900 8.4%

278,486 25-34 287,341 12.7% 188,642 16.2% 28,149 15.4% 11,533 18.6% 26,403 18.6% 9,623 13.6%

551,691

35-44 293,572 13.0% 164,554 14.2% 26,241 14.4% 8,640 13.9% 26,826 18.9% 6,730 9.5%

526,563 45-54 339,296 15.0% 114,454 9.8% 24,444 13.4% 7,330 11.8% 18,624 13.2% 4,842 6.9%

508,990

55-64 317,568 14.0% 63,234 5.4% 16,537 9.1% 4,302 6.9% 13,092 9.2% 3,048 4.3%

417,781 65-74 220,374 9.7% 29,777 2.6% 7,960 4.4% 1,852 3.0% 7,185 5.1% 1,529 2.2%

268,677

75-84 131,383 5.8% 13,307 1.1% 3,594 2.0% 639 1.0% 3,070 2.2% 670 0.9%

152,663 85+ 56,383 2.5% 3,927 0.3% 1,108 0.6% 220 0.4% 832 0.6% 205 0.3%

62,675

Total 2,260,686

1,162,596

182,571

62,146

141,623

70,622

3,880,244

Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2011.


Table 1.04 Population Estimates by Sex, Age, and Race/Ethnicity, 2011 Females Age White Hispanic African American American Indian Asian Multiple Races Total No. % No. % No. % No. % No. % No. % No. 0-4 54,302 4.7% 62,414 10.8% 6,785 7.5% 2,703 8.2% 4,687 6.3% 5,632 15.7% 136,523 5-9 57,737 5.0% 61,058 10.6% 6,827 7.6% 2,550 7.7% 4,888 6.6% 4,951 13.8% 138,011 10-14 60,813 5.3% 58,081 10.1% 7,114 7.9% 2,527 7.6% 4,516 6.1% 4,393 12.3% 137,444 15-19 59,149 5.1% 54,126 9.4% 7,517 8.4% 2,573 7.8% 4,023 5.4% 3,731 10.4% 131,119 20-24 67,165 5.8% 49,578 8.6% 7,573 8.4% 3,587 10.8% 4,293 5.8% 3,035 8.5% 135,231 25-29 72,307 6.3% 45,954 8.0% 6,958 7.7% 3,217 9.7% 6,424 8.6% 2,691 7.5% 137,551 30-34 69,449 6.0% 45,971 8.0% 6,667 7.4% 2,972 9.0% 7,240 9.7% 2,340 6.5% 134,639 35-39 67,668 5.9% 44,174 7.7% 6,449 7.2% 2,485 7.5% 7,559 10.1% 1,894 5.3% 130,229 40-44 77,029 6.7% 38,398 6.7% 6,331 7.0% 2,227 6.7% 6,743 9.0% 1,614 4.5% 132,342 45-49 83,327 7.2% 31,673 5.5% 6,157 6.8% 2,276 6.9% 5,398 7.2% 1,352 3.8% 130,183 50-54 88,567 7.7% 25,469 4.4% 5,998 6.7% 1,873 5.7% 4,687 6.3% 1,160 3.2% 127,754 55-59 83,257 7.2% 18,824 3.3% 4,621 5.1% 1,360 4.1% 4,167 5.6% 926 2.6% 113,155 60-64 83,830 7.3% 14,008 2.4% 3,752 4.2% 1,096 3.3% 3,560 4.8% 739 2.1% 106,985 65-69 65,997 5.7% 9,636 1.7% 2,483 2.8% 627 1.9% 2,438 3.3% 504 1.4% 81,685 70-74 50,722 4.4% 6,554 1.1% 1,863 2.1% 457 1.4% 1,639 2.2% 339 0.9% 61,574 75+ 108,589 9.4% 10,248 1.8% 2,852 3.2% 531 1.6% 2,326 3.1% 498 1.4% 125,044 Total 1,149,908 576,166 89,947 33,061 74,588 35,799 1,959,469

Males 0-4 56,811 5.1% 65,180 11.1% 7,235 7.8% 2,603 8.9% 4,813 7.2% 5,809 16.7% 142,451 5-9 60,754 5.5% 63,161 10.8% 7,275 7.9% 2,627 9.0% 4,852 7.2% 5,183 14.9% 143,852 10-14 63,847 5.7% 60,380 10.3% 7,470 8.1% 2,512 8.6% 4,439 6.6% 4,614 13.2% 143,262 15-19 63,919 5.8% 57,413 9.8% 8,125 8.8% 2,619 9.0% 4,218 6.3% 3,762 10.8% 140,056 20-24 70,272 6.3% 53,310 9.1% 8,617 9.3% 3,329 11.4% 4,862 7.3% 2,865 8.2% 143,255 25-29 74,450 6.7% 49,081 8.4% 7,403 8.0% 2,881 9.9% 6,363 9.5% 2,427 7.0% 142,605 30-34 71,135 6.4% 47,636 8.1% 7,121 7.7% 2,463 8.5% 6,376 9.5% 2,165 6.2% 136,896 35-39 69,423 6.2% 43,271 7.4% 6,761 7.3% 2,088 7.2% 6,628 9.9% 1,734 5.0% 129,905 40-44 79,452 7.2% 38,711 6.6% 6,700 7.2% 1,840 6.3% 5,896 8.8% 1,488 4.3% 134,087 45-49 82,339 7.4% 32,529 5.5% 6,407 6.9% 1,664 5.7% 4,671 7.0% 1,227 3.5% 128,837 50-54 85,063 7.7% 24,783 4.2% 5,882 6.4% 1,517 5.2% 3,868 5.8% 1,103 3.2% 122,216 55-59 75,994 6.8% 17,497 3.0% 4,616 5.0% 1,041 3.6% 3,003 4.5% 801 2.3% 102,952 60-64 74,487 6.7% 12,905 2.2% 3,548 3.8% 805 2.8% 2,362 3.5% 582 1.7% 94,689 65-69 58,780 5.3% 8,273 1.4% 2,142 2.3% 453 1.6% 1,761 2.6% 403 1.2% 71,812 70-74 44,875 4.0% 5,314 0.9% 1,472 1.6% 315 1.1% 1,347 2.0% 283 0.8% 53,606 75+ 79,177 7.1% 6,986 1.2% 1,850 2.0% 328 1.1% 1,576 2.4% 377 1.1% 90,294 Total 1,110,778 586,430 92,624 29,085 67,035 34,823 1,920,775 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2011.


Table 1.05 Population By Race/Ethnicity, Age, and Sex, 2010

Age by Sex




No. % No. %

0-4 144,268 7.6% 138,502 7.2% 282,770 7.4%

White 1,100,779 58.3% 1,139,276 59.1% 5-9 144,340 7.6% 138,369 7.2% 282,709 7.4%

Hispanic 568,138 30.1% 560,603 29.1%

10-14 141,354 7.5% 135,874 7.0% 277,228 7.3%


American Indian 27,632 1.5% 31,620 1.6%

20-24 137,531 7.3% 129,341 6.7% 266,872 7.0%

Asian 63,813 3.4% 71,211 3.7% 25-34 273,147 14.5% 267,979 13.9% 541,126 14.2%

Multiple Races 34,999 1.9% 36,048 1.9%

35-44 263,493 14.0% 261,105 13.5% 524,598 13.7%

Other 2,758 0.1% 2,750 0.1% 45-54 248,168 13.1% 255,797 13.3% 503,965 13.2%

55-64 188,576 10.0% 209,733 10.9% 398,309 10.4%

Total 1,888,465 1,928,652 65-74 118,994 6.3% 136,394 7.1% 255,388 6.7%

75-84 65,158 3.5% 83,041 4.3% 148,199 3.9%

85+ 20,884 1.1% 38,170 2.0% 59,054 1.5%

Total 1,888,465

1,928,652

3,817,117


Age White Hispanic African American American Indian Asian Multiple Races Other Total

No. % No. % No. % No. % No. % No. % No. % No. 0-4 113,519 5.1% 128,894 11.4% 13,966 7.9% 5,126 8.7% 9,358 6.9% 11,301 15.9% 606 11.0% 282,770 5-9 119,850 5.4% 123,906 11.0% 13,806 7.8% 4,906 8.3% 9,519 7.0% 10,164 14.3% 558 10.1% 282,709 10-14 124,435 5.6% 115,414 10.2% 14,510 8.2% 4,764 8.0% 8,643 6.4% 8,915 12.5% 547 9.9% 277,228 15-19 129,055 5.8% 110,053 9.8% 16,103 9.1% 5,460 9.2% 8,137 6.0% 7,561 10.6% 530 9.6% 276,899 20-24 134,058 6.0% 96,394 8.5% 14,877 8.4% 6,414 10.8% 8,950 6.6% 5,754 8.1% 425 7.7% 266,872 25-34 281,757 12.6% 185,230 16.4% 27,278 15.4% 10,926 18.4% 25,372 18.8% 9,708 13.7% 855 15.5% 541,126 35-44 297,869 13.3% 159,349 14.1% 25,922 14.6% 8,376 14.1% 25,489 18.9% 6,876 9.7% 717 13.0% 524,598 45-54 341,517 15.2% 108,003 9.6% 24,023 13.5% 6,929 11.7% 17,733 13.1% 5,112 7.2% 648 11.8% 503,965 55-64 305,537 13.6% 58,292 5.2% 15,195 8.6% 3,872 6.5% 11,970 8.9% 3,073 4.3% 370 6.7% 398,309 65-74 210,666 9.4% 27,316 2.4% 7,478 4.2% 1,705 2.9% 6,437 4.8% 1,613 2.3% 173 3.1% 255,388 75-84 128,420 5.7% 12,408 1.1% 3,277 1.8% 587 1.0% 2,714 2.0% 741 1.0% 52 0.9% 148,199 85+ 53,372 2.4% 3,482 0.3% 1,055 0.6% 187 0.3% 702 0.5% 229 0.3% 27 0.5% 59,054

Total 2,240,055

1,128,741

177,490

59,252

135,024

71,047

5,508 3,817,117

Source: United States Census, 2010 Census. Data on this page were used for calculating all rates (denominators) in this report for 2010.

Maricopa County Five-Year Trends Population Statistics Table 1.06 Population Estimates by Sex, Age, and Race/Ethnicity, 2010

Females Age White Hispanic African American American Indian Asian Multiple Races

Other Total

No. % No. % No. % No. % No. % No. % No. % No. 0-4 55,588 4.9% 63,141 11.3% 6,773 7.8% 2,600 8.2% 4,580 6.4% 5,524 15.3% 296 10.8% 138,502 5-9 58,331 5.1% 60,829 10.9% 6,653 7.6% 2,425 7.7% 4,825 6.8% 5,011 13.9% 295 10.7% 138,369 10-14 60,748 5.3% 56,647 10.1% 7,074 8.1% 2,399 7.6% 4,371 6.1% 4,380 12.2% 255 9.3% 135,874 15-19 62,294 5.5% 53,754 9.6% 7,665 8.8% 2,709 8.6% 3,884 5.5% 3,782 10.5% 259 9.4% 134,347 20-24 65,022 5.7% 46,734 8.3% 6,868 7.9% 3,360 10.6% 4,199 5.9% 2,947 8.2% 211 7.7% 129,341 25-29 71,723 6.3% 45,602 8.1% 6,924 7.9% 3,144 9.9% 6,429 9.0% 2,720 7.5% 213 7.7% 136,755 30-34 67,359 5.9% 45,371 8.1% 6,285 7.2% 2,782 8.8% 6,898 9.7% 2,345 6.5% 184 6.7% 131,224 35-39 71,229 6.3% 43,222 7.7% 6,403 7.3% 2,430 7.7% 7,377 10.4% 2,005 5.6% 204 7.4% 132,870 40-44 75,411 6.6% 36,556 6.5% 6,182 7.1% 2,164 6.8% 6,172 8.7% 1,590 4.4% 160 5.8% 128,235 45-49 86,148 7.6% 30,452 5.4% 6,236 7.2% 2,140 6.8% 5,152 7.2% 1,467 4.1% 185 6.7% 131,780 50-54 87,071 7.6% 23,684 4.2% 5,670 6.5% 1,777 5.6% 4,500 6.3% 1,175 3.3% 140 5.1% 124,017 55-59 81,486 7.2% 17,429 3.1% 4,358 5.0% 1,250 4.0% 3,868 5.4% 913 2.5% 117 4.3% 109,421 60-64 79,176 6.9% 12,769 2.3% 3,316 3.8% 950 3.0% 3,263 4.6% 754 2.1% 84 3.1% 100,312 65-69 63,514 5.6% 8,809 1.6% 2,377 2.7% 593 1.9% 2,101 3.0% 524 1.5% 60 2.2% 77,978 70-74 48,261 4.2% 6,134 1.1% 1,700 2.0% 409 1.3% 1,516 2.1% 356 1.0% 40 1.5% 58,416 75+ 105,915 9.3% 9,470 1.7% 2,660 3.1% 488 1.5% 2,076 2.9% 555 1.5% 47 1.7% 121,211 Total 1,139,276 560,603 87,144 31,620 71,211 36,048 2,750 1,928,652 Males 0-4 57,931 5.3% 65,753 11.6% 7,193 8.0% 2,526 9.1% 4,778 7.5% 5,777 16.5% 310 11.2% 144,268 5-9 61,519 5.6% 63,077 11.1% 7,153 7.9% 2,481 9.0% 4,694 7.4% 5,153 14.7% 263 9.5% 144,340 10-14 63,687 5.8% 58,767 10.3% 7,436 8.2% 2,365 8.6% 4,272 6.7% 4,535 13.0% 292 10.6% 141,354 15-19 66,761 6.1% 56,299 9.9% 8,438 9.3% 2,751 10.0% 4,253 6.7% 3,779 10.8% 271 9.8% 142,552 20-24 69,036 6.3% 49,660 8.7% 8,009 8.9% 3,054 11.1% 4,751 7.4% 2,807 8.0% 214 7.8% 137,531 25-29 73,634 6.7% 47,680 8.4% 7,217 8.0% 2,717 9.8% 5,988 9.4% 2,482 7.1% 231 8.4% 139,949 30-34 69,041 6.3% 46,577 8.2% 6,852 7.6% 2,283 8.3% 6,057 9.5% 2,161 6.2% 227 8.2% 133,198 35-39 73,438 6.7% 42,225 7.4% 6,806 7.5% 2,058 7.4% 6,553 10.3% 1,837 5.2% 182 6.6% 133,099 40-44 77,791 7.1% 37,346 6.6% 6,531 7.2% 1,724 6.2% 5,387 8.4% 1,444 4.1% 171 6.2% 130,394 45-49 84,886 7.7% 30,840 5.4% 6,401 7.1% 1,615 5.8% 4,455 7.0% 1,364 3.9% 165 6.0% 129,726 50-54 83,412 7.6% 23,027 4.1% 5,716 6.3% 1,397 5.1% 3,626 5.7% 1,106 3.2% 158 5.7% 118,442 55-59 73,897 6.7% 16,296 2.9% 4,303 4.8% 931 3.4% 2,732 4.3% 791 2.3% 90 3.3% 99,040 60-64 70,978 6.4% 11,798 2.1% 3,218 3.6% 741 2.7% 2,107 3.3% 615 1.8% 79 2.9% 89,536 65-69 56,188 5.1% 7,512 1.3% 2,019 2.2% 435 1.6% 1,577 2.5% 418 1.2% 48 1.7% 68,197 70-74 42,703 3.9% 4,861 0.9% 1,382 1.5% 268 1.0% 1,243 1.9% 315 0.9% 25 0.9% 50,797 75+ 75,877 6.9% 6,420 1.1% 1,672 1.9% 286 1.0% 1,340 2.1% 415 1.2% 32 1.2% 86,042 Total 1,100,779 568,138 90,346 27,632 63,813 34,999 2,758 1,888,465 Source: United States Census, 2010 Census. Data on this page were used for calculating all rates (denominators) in this report for 2010.


Age by Sex



Race/Ethnicity Males Females

No. % No. % No. %

No. % No. % 0-4 147,638 7.8% 142,214 7.4% 289,852 7.6%

White 1,106,864 58.8% 1,145,362 59.7%

5-9 143,775 7.6% 136,857 7.1% 280,632 7.4%

Hispanic 563,807 29.9% 552,811 28.8% 10-14 141,063 7.5% 135,430 7.1% 276,493 7.3%

African American 89,612 4.8% 86,280 4.5%

15-19 142,479 7.6% 134,174 7.0% 276,653 7.3%

American Indian 28,066 1.5% 31,875 1.7% 20-24 137,456 7.3% 128,862 6.7% 266,318 7.0%

Asian 63,305 3.4% 70,351 3.7%

25-34 277,454 14.7% 271,174 14.1% 548,628 14.4%

Multiple Races 32,240 1.7% 33,206 1.7% 35-44 265,931 14.1% 262,730 13.7% 528,661 13.9%

45-54 245,842 13.0% 252,996 13.2% 498,838 13.1%

55-64 182,725 9.7% 203,618 10.6% 386,343 10.2%

Total

1,883,894

1,919,885

65-74 114,980 6.1% 131,980 6.9% 246,960 6.5%

75-84 64,368 3.4% 82,762 4.3% 147,130 3.9%

85+ 20,183 1.1% 37,088 1.9% 57,271 1.5%

Total 1,883,894

1,919,885

3,803,779



Total

No. % No. % No. % No. % No. % No. %

No. 0-4 117,321 5.2% 132,011 11.8% 14,526 8.3% 5,444 9.1% 9,605 7.2% 10,945 16.7%

289,852

5-9 121,174 5.4% 122,184 10.9% 13,545 7.7% 4,978 8.3% 9,299 7.0% 9,452 14.4%

280,632 10-14 126,586 5.6% 113,674 10.2% 14,628 8.3% 4,712 7.9% 8,574 6.4% 8,319 12.7%

276,493

15-19 131,464 5.8% 108,163 9.7% 16,247 9.2% 5,675 9.5% 8,016 6.0% 7,088 10.8%

276,653 20-24 135,807 6.0% 95,332 8.5% 14,623 8.3% 6,568 11.0% 8,827 6.6% 5,161 7.9%

266,318

25-34 287,389 12.8% 188,082 16.8% 27,162 15.4% 11,111 18.5% 25,968 19.4% 8,916 13.6%

548,628 35-44 306,218 13.6% 156,634 14.0% 26,018 14.8% 8,516 14.2% 25,110 18.8% 6,165 9.4%

528,661

45-54 342,673 15.2% 104,083 9.3% 23,349 13.3% 6,815 11.4% 17,306 12.9% 4,612 7.0%

498,838 55-64 298,436 13.3% 55,381 5.0% 14,581 8.3% 3,759 6.3% 11,534 8.6% 2,652 4.1%

386,343

65-74 204,911 9.1% 25,914 2.3% 7,018 4.0% 1,603 2.7% 6,164 4.6% 1,350 2.1%

246,960 75-84 128,335 5.7% 11,840 1.1% 3,187 1.8% 584 1.0% 2,580 1.9% 604 0.9%

147,130

85+ 51,912 2.3% 3,320 0.3% 1,008 0.6% 176 0.3% 673 0.5% 182 0.3%

57,271

Total 2,252,226

1,116,618

175,892

59,941

133,656

65,446



Females


No. % No. % No. % No. % No. % No. % No. 0-4 57,509 5.0% 64,749 11.7% 7,117 8.2% 2,755 8.6% 4,704 6.7% 5,380 16.2% 142,214 5-9 58,945 5.1% 59,707 10.8% 6,398 7.4% 2,468 7.7% 4,753 6.8% 4,586 13.8% 136,857 10-14 61,673 5.4% 55,800 10.1% 7,195 8.3% 2,360 7.4% 4,287 6.1% 4,115 12.4% 135,430 15-19 63,614 5.6% 52,690 9.5% 7,690 8.9% 2,810 8.8% 3,813 5.4% 3,557 10.7% 134,174 20-24 66,009 5.8% 45,886 8.3% 6,704 7.8% 3,421 10.7% 4,234 6.0% 2,608 7.9% 128,862 25-29 74,743 6.5% 46,614 8.4% 6,941 8.0% 3,209 10.1% 6,594 9.4% 2,605 7.8% 140,706 30-34 66,983 5.8% 45,291 8.2% 6,263 7.3% 2,809 8.8% 7,007 10.0% 2,115 6.4% 130,468 35-39 74,309 6.5% 42,445 7.7% 6,487 7.5% 2,415 7.6% 7,361 10.5% 1,770 5.3% 134,787 40-44 76,588 6.7% 35,580 6.4% 6,194 7.2% 2,223 7.0% 5,921 8.4% 1,437 4.3% 127,943 45-49 87,263 7.6% 29,515 5.3% 6,176 7.2% 2,147 6.7% 4,996 7.1% 1,329 4.0% 131,426 50-54 86,464 7.5% 22,563 4.1% 5,378 6.2% 1,705 5.3% 4,406 6.3% 1,054 3.2% 121,570 55-59 81,055 7.1% 16,728 3.0% 4,238 4.9% 1,238 3.9% 3,802 5.4% 815 2.5% 107,876 60-64 76,001 6.6% 12,001 2.2% 3,124 3.6% 907 2.8% 3,069 4.4% 640 1.9% 95,742 65-69 61,505 5.4% 8,332 1.5% 2,246 2.6% 543 1.7% 1,973 2.8% 432 1.3% 75,031 70-74 47,397 4.1% 5,866 1.1% 1,543 1.8% 388 1.2% 1,452 2.1% 303 0.9% 56,949 75+ 105,304 9.2% 9,044 1.6% 2,586 3.0% 477 1.5% 1,979 2.8% 460 1.4% 119,850

Total 1,145,362

552,811

86,280

31,875

70,351

33,206

1,919,885

Males

0-4 59,812 5.4% 67,262 11.9% 7,409 8.3% 2,689 9.6% 4,901 7.7% 5,565 17.3% 147,638 5-9 62,229 5.6% 62,477 11.1% 7,147 8.0% 2,510 8.9% 4,546 7.2% 4,866 15.1% 143,775 10-14 64,913 5.9% 57,874 10.3% 7,433 8.3% 2,352 8.4% 4,287 6.8% 4,204 13.0% 141,063 15-19 67,850 6.1% 55,473 9.8% 8,557 9.5% 2,865 10.2% 4,203 6.6% 3,531 11.0% 142,479 20-24 69,798 6.3% 49,446 8.8% 7,919 8.8% 3,147 11.2% 4,593 7.3% 2,553 7.9% 137,456 25-29 76,212 6.9% 49,137 8.7% 7,349 8.2% 2,832 10.1% 6,119 9.7% 2,297 7.1% 143,946 30-34 69,451 6.3% 47,040 8.3% 6,609 7.4% 2,261 8.1% 6,248 9.9% 1,899 5.9% 133,508 35-39 76,915 6.9% 41,865 7.4% 7,033 7.8% 2,095 7.5% 6,606 10.4% 1,691 5.2% 136,205 40-44 78,406 7.1% 36,744 6.5% 6,304 7.0% 1,783 6.4% 5,222 8.2% 1,267 3.9% 129,726 45-49 86,343 7.8% 30,013 5.3% 6,425 7.2% 1,589 5.7% 4,350 6.9% 1,255 3.9% 129,975 50-54 82,603 7.5% 21,992 3.9% 5,370 6.0% 1,374 4.9% 3,554 5.6% 974 3.0% 115,867 55-59 72,942 6.6% 15,587 2.8% 4,166 4.6% 953 3.4% 2,656 4.2% 694 2.2% 96,998 60-64 68,438 6.2% 11,065 2.0% 3,053 3.4% 661 2.4% 2,007 3.2% 503 1.6% 85,727 65-69 54,129 4.9% 7,095 1.3% 1,877 2.1% 428 1.5% 1,561 2.5% 348 1.1% 65,438 70-74 41,880 3.8% 4,621 0.8% 1,352 1.5% 244 0.9% 1,178 1.9% 267 0.8% 49,542 75+ 74,943 6.8% 6,116 1.1% 1,609 1.8% 283 1.0% 1,274 2.0% 326 1.0% 84,551

Total 1,106,864

563,807

89,612

28,066

63,305

32,240

1,883,894



Table 1.09 Population Estimates by Sex, Age, and Race/Ethnicity, 2008

Age by Sex




No. % No. %

0-4 152,446 8.1% 146,565 7.7% 299,011 7.9%

White 1,107,529 59.2% 1,145,461 60.3% 5-9 141,742 7.6% 135,248 7.1% 276,990 7.3%

Hispanic 557,252 29.8% 540,877 28.5%

10-14 140,067 7.5% 134,099 7.1% 274,166 7.3%


American Indian 28,247 1.5% 31,809 1.7%

20-24 137,204 7.3% 127,975 6.7% 265,179 7.0%

Asian 61,100 3.3% 67,566 3.6% 25-34 280,134 15.0% 271,878 14.3% 552,012 14.6%

Multiple Races 30,755 1.6% 31,633 1.7%

35-44 267,884 14.3% 263,316 13.9% 531,200 14.1%

45-54 240,845 12.9% 248,318 13.1% 489,163 13.0%

55-64 176,874 9.5% 196,542 10.3% 373,416 9.9%

Total

1,870,984

1,900,077 65-74 109,121 5.8% 126,410 6.7% 235,531 6.2%

75-84 64,037 3.4% 82,580 4.3% 146,617 3.9%

85+ 19,149 1.0% 35,352 1.9% 54,501 1.4%

Total 1,870,984

1,900,077

3,771,061



No. % No. % No. % No. % No. % No. % No. 0-4 121,442 5.4% 136,521 12.4% 14,487 8.6% 5,935 9.9% 9,887 7.7% 10,739 17.2% 299,011 5-9 122,318 5.4% 119,458 10.9% 12,967 7.7% 4,713 7.8% 8,599 6.7% 8,935 14.3% 276,990 10-14 127,970 5.7% 110,916 10.1% 14,243 8.4% 4,770 7.9% 8,237 6.4% 8,030 12.9% 274,166 15-19 132,768 5.9% 105,259 9.6% 15,438 9.1% 5,807 9.7% 7,552 5.9% 6,451 10.3% 273,275 20-24 136,244 6.0% 94,754 8.6% 13,981 8.3% 6,577 11.0% 8,565 6.7% 5,058 8.1% 265,179 25-34 289,980 12.9% 190,204 17.3% 25,936 15.4% 11,298 18.8% 26,139 20.3% 8,455 13.6% 552,012 35-44 314,846 14.0% 152,672 13.9% 25,454 15.1% 8,501 14.2% 23,834 18.5% 5,893 9.4% 531,200 45-54 341,293 15.1% 98,354 9.0% 22,173 13.1% 6,651 11.1% 16,338 12.7% 4,354 7.0% 489,163 55-64 291,295 12.9% 51,765 4.7% 13,533 8.0% 3,532 5.9% 10,831 8.4% 2,460 3.9% 373,416 65-74 196,187 8.7% 24,104 2.2% 6,719 4.0% 1,522 2.5% 5,715 4.4% 1,284 2.1% 235,531 75-84 128,996 5.7% 11,121 1.0% 2,989 1.8% 588 1.0% 2,355 1.8% 568 0.9% 146,617 85+ 49,651 2.2% 3,001 0.3% 912 0.5% 162 0.3% 614 0.5% 161 0.3% 54,501

Total 2,252,990

1,098,129

168,832

60,056

128,666

62,388

3,771,061



Females


No. % No. % No. % No. % No. % No. % No. 0-4 59,569 5.2% 66,797 12.3% 7,071 8.5% 3,011 9.5% 4,865 7.2% 5,252 16.6% 146,565 5-9 59,371 5.2% 58,649 10.8% 6,234 7.5% 2,309 7.3% 4,392 6.5% 4,293 13.6% 135,248 10-14 62,342 5.4% 54,302 10.0% 6,976 8.4% 2,394 7.5% 4,058 6.0% 4,027 12.7% 134,099 15-19 64,157 5.6% 50,708 9.4% 7,271 8.8% 2,850 9.0% 3,587 5.3% 3,221 10.2% 131,794 20-24 66,374 5.8% 45,086 8.3% 6,342 7.7% 3,420 10.8% 4,193 6.2% 2,560 8.1% 127,975 25-29 77,231 6.7% 47,336 8.8% 6,636 8.0% 3,237 10.2% 6,505 9.6% 2,493 7.9% 143,438 30-34 65,787 5.7% 44,817 8.3% 5,948 7.2% 2,825 8.9% 7,079 10.5% 1,984 6.3% 128,440 35-39 76,375 6.7% 40,968 7.6% 6,396 7.7% 2,419 7.6% 7,062 10.5% 1,655 5.2% 134,875 40-44 78,686 6.9% 34,641 6.4% 5,986 7.2% 2,218 7.0% 5,530 8.2% 1,380 4.4% 128,441 45-49 87,704 7.7% 27,981 5.2% 5,912 7.1% 2,063 6.5% 4,740 7.0% 1,275 4.0% 129,675 50-54 85,616 7.5% 21,082 3.9% 5,058 6.1% 1,696 5.3% 4,174 6.2% 1,017 3.2% 118,643 55-59 80,616 7.0% 15,774 2.9% 4,003 4.8% 1,157 3.6% 3,608 5.3% 768 2.4% 105,926 60-64 72,463 6.3% 11,076 2.0% 2,832 3.4% 839 2.6% 2,826 4.2% 580 1.8% 90,616 65-69 58,508 5.1% 7,760 1.4% 2,143 2.6% 543 1.7% 1,818 2.7% 420 1.3% 71,192 70-74 46,244 4.0% 5,473 1.0% 1,525 1.8% 362 1.1% 1,338 2.0% 276 0.9% 55,218 75+ 104,418 9.1% 8,427 1.6% 2,398 2.9% 466 1.5% 1,791 2.7% 432 1.4% 117,932

Total 1,145,461

540,877

82,731

31,809

67,566

31,633

1,900,077

Males

0-4 61,873 5.6% 69,724 12.5% 7,416 8.6% 2,924 10.4% 5,022 8.2% 5,487 17.8% 152,446 5-9 62,947 5.7% 60,809 10.9% 6,733 7.8% 2,404 8.5% 4,207 6.9% 4,642 15.1% 141,742 10-14 65,628 5.9% 56,614 10.2% 7,267 8.4% 2,376 8.4% 4,179 6.8% 4,003 13.0% 140,067 15-19 68,611 6.2% 54,551 9.8% 8,167 9.5% 2,957 10.5% 3,965 6.5% 3,230 10.5% 141,481 20-24 69,870 6.3% 49,668 8.9% 7,639 8.9% 3,157 11.2% 4,372 7.2% 2,498 8.1% 137,204 25-29 78,425 7.1% 50,704 9.1% 7,010 8.1% 2,882 10.2% 6,165 10.1% 2,246 7.3% 147,432 30-34 68,537 6.2% 47,347 8.5% 6,342 7.4% 2,354 8.3% 6,390 10.5% 1,732 5.6% 132,702 35-39 80,014 7.2% 41,229 7.4% 6,877 8.0% 2,076 7.3% 6,313 10.3% 1,610 5.2% 138,119 40-44 79,771 7.2% 35,834 6.4% 6,195 7.2% 1,788 6.3% 4,929 8.1% 1,248 4.1% 129,765 45-49 86,652 7.8% 28,475 5.1% 6,261 7.3% 1,586 5.6% 4,088 6.7% 1,187 3.9% 128,249 50-54 81,321 7.3% 20,816 3.7% 4,942 5.7% 1,306 4.6% 3,336 5.5% 875 2.8% 112,596 55-59 72,277 6.5% 14,773 2.7% 3,939 4.6% 902 3.2% 2,500 4.1% 658 2.1% 95,049 60-64 65,939 6.0% 10,142 1.8% 2,759 3.2% 634 2.2% 1,897 3.1% 454 1.5% 81,825 65-69 51,026 4.6% 6,621 1.2% 1,828 2.1% 392 1.4% 1,459 2.4% 349 1.1% 61,675 70-74 40,409 3.6% 4,250 0.8% 1,223 1.4% 225 0.8% 1,100 1.8% 239 0.8% 47,446 75+ 74,229 6.7% 5,695 1.0% 1,503 1.7% 284 1.0% 1,178 1.9% 297 1.0% 83,186

Total 1,107,529

557,252

86,101

28,247

61,100

30,755

1,870,984


Maricopa County Five-Year Trends Population Statistics Table 1.11 Maricopa County, Phoenix, and Arizona Population 1980-2012

Year City of Phoenix

Maricopa County

State of Arizona Source

1980 789,704 1,509,175 2,726,100 1980 U.S. Census

1985 NA 1,837,912 3,162,900 1985 Special Census

1990 983,403 2,122,101 3,680,800 1990 U.S. Census

1995 1,098,684 2,551,765 4,228,900 1995 Special Census

2000 1,321,045 3,072,149 5,130,632 2000 U.S. Census

2001 1,342,908 3,175,989 5,273,477 2000-2010 U.S. Intercensal Estimate









2010 1,445,632 3,817,117 6,392,017 2010 U.S. Census

2011 1,469,471 3,880,244 6,482,505 U.S. Census Estimates

2012 1,488,750 3,942,169 6,553,255 U.S. Census Estimates

Note: Population estimates for Phoenix 2001-2009 are based on U.S. Census Estimates for 2009 and made prior to the 2010 Census.

II. Maricopa County Five-Year Health Trends


Maricopa County Five-Year Health Trends Table 2.01a Selected Underlying Causes of Death 2008-2012

Number of Deaths

Cause of Death Number of Deaths

2008 2009 2010 2011 2012 Infectious Diseases Tuberculosis 5 5 10 7 1

Syphilis 0 0 0 1 2 HIV 74 62 67 60 67

Cancer Stomach 109 93 114 116 108 Colon 474 457 501 494 532 Pancreas 344 342 383 394 461 Lung 1,333 1,410 1,445 1,409 1,481 Breast 426 388 411 422 432 Uterine & Ovarian 241 252 260 298 288 Prostate 304 285 273 294 289 Urinary 249 288 292 307 297 Lymphoma 242 216 190 214 211 Leukemia 218 268 222 221 266 Other Cancer 1,344 1,421 1,417 1,479 1,503 All Cancer 5,284 5,420 5,508 5,648 5,868

Diabetes and Alzheimer's Diabetes 623 548 702 1,000 939 Alzheimer's 1,458 1,481 1,665 1,732 1,518

Major Cardio-vascular Diseases

Heart Disease

Hypertensive Heart Disease 385 423 370 423 411 Ischemic Heart Disease 4,249 4,132 3,957 4,145 3,940 Other Heart Disease 838 864 816 790 885 All Heart Disease 5,472 5,419 5,143 5,358 5,236

Other Cardio-vascular

Primary Hypertension 326 318 317 505 481 Cerebrovascular 1,118 1,068 1,084 1,086 1,090 Atherosclerosis 87 80 66 62 97 Other Circulatory 188 171 199 178 176 All Other Cardiovascular 1,719 1,637 1,666 1,831 1,844

Other Respiratory Diseases Influenza & Pneumonia 539 519 296 234 218 Chronic Lower Respiratory 1,504 1,444 1,463 1,710 1,647

GI & Urinary Peptic Ulcer 25 26 40 35 26 Liver Disease 382 383 386 428 459 Nephritis 173 197 180 94 131

Pregnancy & Early Life Pregnancy 6 4 8 3 6 Perinatal Conditions 183 168 144 150 158 Congenital Malformations 133 126 114 120 146 SIDS 22 18 16 17 9

Other Diseases Symptoms, Signs 447 565 751 809 1,178 Other Diseases 3,690 3,896 3,839 3,687 3,821

External Causes Motor Vehicle Collisions1 427 355 336 358 340 All Other Accidents 1,253 1,241 1,243 1,304 1,121 Suicide 535 529 548 589 553 Homicide 277 212 219 202 204 Other External Causes 69 78 93 87 103 All External Causes 2,561 2,415 2,439 2,540 2,540

Unknown 1 5 1 0 191 Total 24,301 24,338 24,438 25,464 25,786 1 Refer to the Technical Notes for an explanation of the changes in these causes of death over time


Maricopa County Five-Year Health Trends Table 2.01b Selected Underlying Causes of Death 2008-2012

Crude Death Rate per 100,000 Residents

Cause of Death Death Rate

2008 2009 2010 2011 2012 Infectious Diseases Tuberculosis 0.1 0.1 0.3 0.2 0

Syphilis 0.0 0.0 0.0 0.0 0.1 HIV 2.0 1.6 1.8 1.5 1.7

Cancer Stomach 2.9 2.4 3.0 3.0 2.7 Colon 12.6 12.0 13.1 12.7 13.5 Pancreas 9.1 9.0 10.0 10.2 11.7 Lung 35.3 37.1 37.9 36.3 37.6 Breast 11.3 10.2 10.8 10.9 11 Uterine & Ovarian1

12.7 13.1 13.5 15.2 7.3 Prostate1

16.3 15.1 14.5 15.3 7.3 Urinary 6.6 7.6 7.6 7.9 7.5 Lymphoma 6.4 5.7 5.0 5.5 5.4 Leukemia 5.8 7.0 5.8 5.7 6.7 Other Cancer 35.6 37.4 37.1 38.1 38.1 All Cancer 140.1 142.5 144.3 145.6 148.8

Diabetes and Alzheimer's Diabetes 16.5 14.4 18.4 25.8 23.8 Alzheimer's 38.7 38.9 43.6 44.6 38.5

Major Cardio-vascular Diseases

Heart Disease

Hypertensive Heart Disease 10.2 11.1 9.7 10.9 10.4 Ischemic Heart Disease 112.7 108.6 103.7 106.8 99.9 Other Heart Disease 22.2 22.7 21.4 20.4 22.4 All Heart Disease 145.1 142.5 134.7 138.1 132.7

Other Cardio-vascular

Primary Hypertension 8.6 8.4 8.3 10.9 12.2 Cerebrovascular 29.6 28.1 28.4 106.8 27.6 Atherosclerosis 2.3 2.1 1.7 20.4 2.5 Other Circulatory 5.0 4.5 5.2 10.9 4.5 All Other Cardiovascular 45.6 43.0 43.6 47.2 46.8

Other Respiratory Diseases

Influenza & Pneumonia 14.3 13.6 7.8 6.0 5.5 Chronic Lower Respiratory 39.9 38.0 38.3 44.1 41.8

GI & Urinary Peptic Ulcer 0.7 0.7 1.0 0.9 0.7 Liver Disease 10.1 10.1 10.1 11.0 11.6 Nephritis 4.6 5.2 4.7 2.4 3.3

Pregnancy & Early Life Pregnancy1 0.2 0.1 0.2 0.2 0.2

Perinatal Conditions 4.9 4.4 3.8 3.9 4.0 Congenital Malformations 3.5 3.3 3.0 3.1 3.7 SIDS2

0.4 0.3 0.3 0.3 0.2 Other Diseases Symptoms, Signs 11.9 14.9 19.7 20.8 29.9

Other Diseases 97.9 102.4 100.6 95.0 96.9 External Causes Motor Vehicle Collisions3

11.3 9.3 8.8 9.2 8.6 All Other Accidents 33.2 32.6 32.6 33.6 28.4 Suicide 14.2 13.9 14.4 15.2 14.0 Homicide 7.3 5.6 5.7 5.2 5.2 Other External Causes 1.8 2.1 2.4 2.2 2.6 All External Causes 67.9 63.5 63.9 65.5 58.8

Unknown 0.0 0.1 0.0 0 4.8 Total 644.4 639.8 640.2 656.2 647.2

1 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. 2 Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. 3 Refer to the Technical Notes for an explanation of the changes in these causes of death over time.


Maricopa County Five-Year Health Trends Table 2.02a Other Selected Underlying Causes of Death 2008-2012

Number of Deaths

Cause of Death Number of Deaths

2008 2009 2010 2011 2012 Infectious Diseases Clostridium difficile 75 96 103 94 86

Other Intestinal Infections 10 22 23 13 28 Septicemia 180 298 199 107 107 Viral Hepatitis 103 138 112 128 165 Coccidioidomycosis 9 22 22 13 13 Other Mycoses 17 18 12 7 3

Cancer Brain 135 163 149 155 217 Lip and Oral 69 59 63 77 69 Skin (Melanoma) 98 121 103 102 118 Ovarian 130 157 156 164 174 Testicular 5 6 5 6 4

Other Diseases Anemias 19 27 27 27 23 Nutritional Deficiencies 12 22 22 26 17 Obesity 39 50 90 83 115 Mental & Behavioral Disorders Due to the Use of Alcohol

94 106 108 109 108 Parkinson’s Disease 273 252 270 312 310 Multiple Sclerosis 42 38 47 41 38 Epilepsy 11 17 19 19 20

Cardiovascular Acute Myocardial Infarction

869 888 769 860 833 Congestive Heart Failure 138 143 130 108 164

Chronic Lower Respiratory Emphysema 130 109 120 79 58 Asthma 20 28 32 57 38

Liver Disease Alcoholic Liver Disease 259 262 299 335 345 Musculoskeletal Rheumatoid Arthritis 27 15 31 41 27

Lupus 14 7 12 12 17 Osteoporosis 8 6 6 11 11

Perinatal Conditions & Congenital Malformations

Disorders Related to Short Gestation & Low Birth Weight

60 65 49 42 40 Congenital Malformations of the Circulatory System

35 47 36 38 40 Chromosomal Abnormalities 32 19 21 18 26

External Causes Falls 480 480 494 516 461 Drowning 45 54 52 54 51 Unintentional Poisoning1 458 493 462 480 413 Exposure to Excessive Natural Heat 23 20 28 36 38 Legal Intervention 8 3 7 6 6 Accidental Discharge of Firearms 7 5 9 4 1 Discharge of Firearms, Undetermined

5 3 8 4 5

Complications of Medical & Surgical

25 20 30 29 27 1 Refer to the Technical Notes for an explanation of the changes in these causes of death over time


Maricopa County Five-Year Health Trends Table 2.02b Other Selected Underlying Causes of Death 2008-2012

Crude Death Rate per 100,000 Residents


2008 2009 2010 2011 2012 Infectious Diseases Clostridium difficile 2.0 2.5 2.7 2.4 2.2

Other Intestinal Infections 0.3 0.6 0.6 0.3 0.7 Septicemia 4.8 7.8 5.2 2.8 2.7 Viral Hepatitis 2.7 3.6 2.9 3.3 4.2 Coccidioidomycosis 0.2 0.6 0.6 0.3 0.3 Other Mycoses 0.5 0.5 0.3 0.2 0.1

Cancer Brain 3.6 4.3 3.9 4 5.5 Lip and Oral 1.8 1.6 1.7 2 1.8 Skin (Melanoma) 2.6 3.2 2.7 2.6 3 Ovarian1 6.8 8.2 8.1 8.4 4.4 Testicular1 0.3 0.3 0.3 0.3 0.1

Other Diseases Anemias 0.5 0.7 0.7 0.7 0.6 Nutritional Deficiencies 0.3 0.6 0.6 0.7 0.4 Obesity 1.0 1.3 2.4 2.1 2.9 Mental & Behavioral Disorders Due to the Use of Alcohol

2.5 2.8 2.8 2.8 2.7

Parkinson’s Disease 7.2 6.6 7.1 8 7.9 Multiple Sclerosis 1.1 1.0 1.2 1.1 1 Epilepsy 0.3 0.4 0.5 0.5 0.5

Cardiovascular Acute Myocardial Infarction

23.0 23.3 20.1 22.2 21.1 Congestive Heart Failure 3.7 3.8 3.4 2.8 4.2

Chronic Lower Respiratory Emphysema 3.4 2.9 3.1 2 1.5 Asthma 0.5 0.7 0.8 1.5 1

Liver Disease Alcoholic Liver Disease 6.9 6.9 7.8 8.6 8.8 Musculoskeletal Rheumatoid Arthritis 0.7 0.4 0.8 1.1 0.7

Lupus 0.4 0.2 0.3 0.3 0.4 Osteoporosis 0.2 0.2 0.2 0.3 0.3

Perinatal Conditions & Congenital Malformations

Disorders Related to Short Gestation & Low Birth Weight

1.6 1.7 1.3 1.1 1

Congenital Malformations of the Circulatory System

0.9 1.2 0.9 1 1

Chromosomal Abnormalities 0.8 0.5 0.6 0.5 0.7 External Causes Falls 12.7 12.6 12.9 13.3 11.7

Drowning 1.2 1.4 1.4 1.4 1.3 Unintentional Poisoning2 12.1 13.0 12.1 12.4 10.5 Exposure to Excessive Natural Heat 0.6 0.5 0.7 0.9 1 Legal Intervention 0.2 0.1 0.2 0.2 0.2 Accidental Discharge of Firearms 0.2 0.1 0.2 0.1 0 Discharge of Firearms, Undetermined

0.1 0.1 0.2 0.1 0.1

Complications of Medical & Surgical

0.7 0.5 0.8 0.7 0.7 1 Ovarian cancer rates are per 100,000 females; testicular cancer rates are per 100,000 males. 2 Refer to the Technical Notes for an explanation of the changes in these rates over time.


Maricopa County Five-Year Health Trends Table 2.03a Firearm, Drug, and Alcohol Induced and Related Deaths 2008-2012

Number of Deaths

Cause of Death

Number of Deaths

2008 2009 2010 2011 2012

Firearm Related 511 447 486 510 494

Drug Induced 571 618 604 611 574

Drug Related, Including Tobacco 813 824 3,903 3,984 3,870

Drug Related, Excluding Tobacco 656 684 715 742 713

Alcohol Induced 386 407 447 474 480

Alcohol Related 595 631 680 721 741

Table 2.03b Firearm, Drug, and Alcohol Induced and Related Deaths 2008-2012 Crude Death Rate per 100,000 Residents


2008 2009 2010 2011 2012

Firearm Related 13.6 11.8 12.7 13.1 12.5

Drug Induced 15.1 16.2 15.8 15.7 14.5

Drug Related, Including Tobacco 21.6 21.7 102.2 102.7 98.2

Drug Related, Excluding Tobacco 17.4 18.0 18.7 19.1 18.1

Alcohol Induced 10.2 10.7 11.7 12.2 12.1

Alcohol Related 15.8 16.6 17.8 18.6 18.8

*Note: Firearm, drug, and alcohol induced and related deaths are also included in other categories, e.g. suicide, homicide or unintentional injuries. Refer to the Technical Notes for a complete explanation of induced versus related deaths involving firearms, drugs, or alcohol.


Maricopa County Five-Year Health Trends

Table 2.04a Selected Maternal & Child Health Indicators 2008-2012

Maternal and Child Health Indicator Number of Live Births

2008 2009 2010 2011 2012 Countywide Indicators

Number of Live Births 62,666 57,655 54,235 53,361 54,475 Number of Male Infants of Total Live Births 31,950 29,499 27,649 27,284 27,876

Number of Live Births to Mothers With Selected Risk Factors

Mothers With <12 Years Education 17,406 14,430 12,073 10,704 10,531 Births to Women 10-19 Years Old 7,210 6,246 5,342 4,780 4,698 Births to Women 15-17 Years Old 2,548 2,044 1,652 1,377 1,445 Births to Women Over 35 Years Old 8,216 7,832 7,664 7,901 7,965 Births to Never Married Women 27,656 25,535 23,557 22,797 23,784 Tobacco Use During Pregnancy 2,592 2,332 2,245 1,997 1,957 Alcohol Use During Pregnancy 320 247 237 267 228 Mother with Pre-Existing Cardiac Disease 127 128 154 143 130 Mother with Pre-Existing Diabetes 2,563 2,296 2,326 2,444 2,782 Mothers with No Medical Risk Factors for Pregnancy 43,933 39,202 35,811 34,803 36,095

Number of Live Births With Selected Risk Factors Associated with Pregnancy

Induced Labor 13,820 13,194 12,598 11,217 10,221 Delivery via C-Section

Primary Cesarean Section 9,804 8,822 8,463 8,075 8,105 Repeat Cesarean Section

7,722 7,567 6,895 7,104 7,335 Preterm Births (Less than 37 Weeks) 6,583 6,032 5,366 5,116 5,110 Hospital Births 62,300 57,238 53,800 52,779 53,819 Method of Payment

AHCCCS 32,972 30,613 28,906 27,981 28,389 IHS 267 221 182 214 244 Private Insurance 27,610 25,084 23,408 23,418 23,860 Self 1,501 1,372 1,485 1,525 1,873

Prenatal Care

None 944 864 686 686 518 1st Trimester 52,056 48,689 46,571 45,486 46,962 2nd Trimester 8,046 6,698 5,638 5,697 5,665 3rd Trimester 1,561 1,296 1,231 1,190 1,202

Number of Prenatal Care Visits

0 944 864 687 686 518 1-4 1,722 1,493 1,369 1,378 1,417 5-8 9,315 7,933 6,625 6,144 6,096 9-12 30,633 28,396 26,926 25,198 26,031 13+ 19,986 18,849 18,510 19,606 20,264

Plurality Singletons 60,810 55,944 52,594 51,832 52,893 Twins 1,748 1,633 1,592 1,471 1,582

Singleton Births Receiving Early & Adequate Prenatal Care1 44,803 41,988 40,007 39,578 41,187

Number of Live Births with Selected Risk Factors Associated with the Neonate

Neonatal Intensive Care 3,768 3,841 3,429 2,950 2,626 Infants Transferred to Another Facility1 350 267 217 178 192 Birthweight Very Low (<1500g) 714 690 575 658 637

Low (<2500g) 3,663 3,428 3,278 3,062 3,094 High (>4250g) 1,903 1,668 1,606 1,674 1,809

Infants With a Neural Tube Defect2 11 10 11 13 12 Infants With Fetal Alcohol Syndrome2 1 0 3 1 4

1 See the technical notes for an explanation of early and adequate prenatal care and infants transferred to another facility.

2 Due to the collection method for these data, information is underestimated.


Maricopa County Five-Year Health Trends Table 2.04b Selected Maternal & Child Health Indicator Percentages 2008-2012

Maternal and Child Health Indicator Percent of Live Births

2008 2009 2010 2011 2012 Countywide Indicators

Number of Live Births 62,666 57,655 54,235 54,235 54,475 % Male Infants of Total Live Births 51.0% 51.2% 51.0% 51.1% 51.2% Fertility Rate per 1,000 Women Age 15-441 78.8 72.3 68.4 67.7 66.9

Percentage of Live Births to Mothers With Selected Risk Factors

% Mothers With <12 Years Education 27.8% 25.0% 22.3% 20.1% 19.3% % Births to Women 10-19 Years Old 11.5% 10.8% 9.8% 9.0% 8.6% % Births to Women 15-17 Years Old 4.1% 3.5% 3.0% 2.6% 2.7% % Births to Women Over 35 Years Old 13.1% 13.6% 14.1% 14.8% 14.6% % Births to Never Married Women 44.1% 44.3% 43.4% 42.7% 43.7% % Tobacco Use During Pregnancy 4.1% 4.0% 4.1% 3.7% 3.6% % Alcohol Use During Pregnancy 0.5% 0.4% 0.4% 0.5% 0.4% % Mother with Pre-Existing Cardiac Disease 0.2% 0.2% 0.3% 0.3% 0.2% % Mother with Pre-Existing Diabetes 4.1% 4.0% 4.3% 4.6% 5.1% % Mothers with No Medical Risk Factors for Pregnancy 70.1% 68.0% 66.0% 65.2% 66.3%

Percentage of Live Births With Selected Risk Factors Associated with Pregnancy

% Induced Labor 22.1% 22.9% 23.2% 21.0% 18.8% Delivery via C-Section

Primary Cesarean Section 15.6% 15.6% 15.9% 15.1% 14.9% Repeat Cesarean Section 12.3% 12.7% 12.9% 13.3% 13.5%

% Preterm Births (Less than 37 Weeks) 10.5% 10.5% 9.9% 9.6% 9.4% % Hospital Births 99.4% 99.3% 99.2% 98.9% 98.8% Method of Payment

AHCCCS 52.6% 53.1% 53.3% 52.4% 52.1% IHS 0.4% 0.4% 0.3% 0.4% 0.4% Private Insurance 44.1% 43.5% 43.2% 43.9% 43.8% Self 2.4% 2.4% 2.7% 2.9% 3.4%

Prenatal Care None 1.5% 1.5% 1.3% 1.3% 1.0% 1st Trimester 83.1% 84.4% 85.9% 85.2% 86.2% 2nd Trimester 12.8% 11.6% 10.4% 10.7% 10.4% 3rd Trimester 2.5% 2.2% 2.3% 2.2% 2.2%

Number of Prenatal Care Visits

0 1.5% 1.5% 1.3% 1.3% 1.0% 1-4 2.7% 2.6% 2.5% 2.6% 2.6% 5-8 14.9% 13.8% 12.2% 11.5% 11.2% 9-12 48.9% 49.3% 49.6% 47.2% 47.8% 13+ 31.9% 32.7% 34.1% 36.7% 37.2%

Plurality Singletons 97.0% 97.0% 97.0% 97.1% 97.1% Twins 2.8% 2.8% 2.9% 2.8% 2.9%

% Singleton Births Receiving Early & Adequate Prenatal Care2 71.5% 72.8% 73.8% 74.2% 75.6%

Percentage of Live Births with Selected Risk Factors Associated with the Neonate

Neonatal Intensive Care 6.0% 6.7% 6.3% 5.5% 4.8% % Infants Transferred to Another Facility2 0.6% 0.5% 0.4% 0.3% 0.4% Birthweight Very Low (<1500g) 1.1% 1.2% 1.1% 1.2% 1.2%

Low (<2500g) 5.8% 5.9% 6.0% 5.7% 5.7% High (>4250g) 3.0% 2.9% 3.0% 3.1% 3.3%

% Infants With a Neural Tube Defect3 0.00% 0.00% 0.02% 0.02% 0.0% % Infants with Fetal Alcohol Syndrome3 0.00% 0% 0.00% 0.00% 0.0%

1 The annual number of women age 15 to 44 years old was used to compute this rate. 2 See the technical notes for an explanation of early and adequate prenatal care and infants transferred to another facility.

3 Due to the collection method for these data, information is underestimated.


Maricopa County Five-Year Health Trends Table 2.05 Number of Births by Maternal Indicators for Infant Mortality Rate

2008-2012

Maternal Indicators

Number of Live Births 2008 2009 2010 2011 2012

Mother’s Race

White 26,317 24,721 24,485 24,786 24,749 Hispanic 28,724 25,449 22,413 21,124 21,691 African American 3,134 3,203 3,215 3,180 3,504 American Indian 1,837 1,731 1,585 1,586 1,622 Asian 2,444 2,349 2,335 2,518 2,735 Other/Unknown 210 202 202 167 174

Mother’s Age

<20 7,210 6,246 5,342 4,780 4,698 20-29 33,443 30,476 28,487 27,853 28,403 30-39 20,613 19,493 18,972 19,202 19794 40 and Older 1,397 1,439 1,434 1,526 1578

Mother’s Education

Level

Less than 6th Grade 1,011 780 732 638 583 6th-11th Grade 16,395 13,650 11,341 10,066 9,948 High School Diploma 17,529 16,280 15,543 15,088 15,888 College or Higher 27,186 26,637 26,280 26,769 27,599 Unknown 545 308 339 800 457

Birthweight

<1,500 Grams 714 690 575 658 637 1,500-2,499 Grams 3,663 3,428 3,278 3,062 3,094 2,500-4,249 Grams 56,383 51,864 48,772 47,962 48,933 >4,249 Grams 1,903 1,668 1,606 1,674 1,809 Unknown 3 5 4 5 2

Table 2.06a Infant Mortality by Race/Ethnicity of Mother 2008-2012 (Linked)

Race/Ethnicity of Mother Number of Infant Deaths 2008 2009 2010 2011 2012 Total

White 144 129 113 126 108 620 Hispanic 142 118 127 120 121 628 African American 51 45 36 30 41 203 American Indian 8 13 10 11 10 52 Asian 28 17 1 1 1 48 Other/Unknown 1 1 18 17 23 60 Total 374 323 305 305 304 1,611

Table 2.06b Infant Mortality Rates by Race/Ethnicity of Mother, 2008-2012 (Linked)

Infant Mortality per 1,000 Live Births

Race/Ethnicity of Mother Infant Mortality Rate per 1,000 Live Births 2008 2009 2010 2011 2012 Total

White 5.5 5.2 4.6 5.1 4.4 5.0 Hispanic 4.9 4.6 5.7 5.7 5.6 5.3 African American 16.3 14.0 11.2 9.4 11.7 12.5 American Indian 4.4 7.5 6.3 6.9 6.2 6.2 Asian 11.5 7.2 0.4 0.4 0.4 3.9 Other/Unknown1 - - - - - - Total 6.0 5.6 5.6 5.7 5.6 5.7

1 Rates are not calculated as population (denominator) data is not available for Other/Unknown race and ethnicity.

*Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data.


Maricopa County Five-Year Health Trends Table 2.07a Infant Mortality by Age of Mother 2008-2012 (Linked)

Table 2.07b Infant Mortality Rates by Age of Mother 2008-2012 (Linked) Infant Mortality per 1,000 Live Births

Age of Mother

Infant Mortality Rate per 1,000 Live Births 2008 2009 2010 2011 2012 Total

<20 6.1 7.0 6.9 9.4 7.2 5.1 20-29 5.3 5.8 6.2 5.9 5.5 3.6 30-39 4.5 4.7 4.4 4.5 5.3 2.9 40 and Older 7.9 7.6 5.6 7.2 7.0 4.7 Total 6.0 5.6 5.6 5.7 5.6 3.5


Age of Mother Number of Infant Deaths 2008 2009 2010 2011 2012 Total

<20 62 44 37 45 34 143 20-29 187 176 176 164 155 539 30-39 109 92 84 86 104 285 40 and Older 16 11 8 11 11 35 Total 374 323 305 305 304 1,002


Maricopa County Five-Year Health Trends Table 2.08a Infant Mortality by Educational Level of Mother 2008-2012 (Linked)

Education Level of Mother

Number of Infant Deaths

2008 2009 2010 2011 2012 Total Less Than 6th Grade 9 5 3 5 4 26

6th – 11th Grade 103 83 79 70 62 397

High School Diploma 139 114 94 106 101 554

College or Higher 118 119 124 118 135 614

Unknown 5 2 5 6 2 20

Total 374 323 305 305 304 1,611

Table 2.08b Infant Mortality Rates by Educational Level of Mother 2008-2012 (Linked) Infant Mortality per 1,000 Live Births

Education Level of Mother

Infant Mortality Rate per 1,000 Live Births

2008 2009 2010 2011 2012 Total Less Than 6th Grade 8.9 6.4 4.1 7.8 6.9 6.9 6th – 11th Grade 6.3 6.1 7.0 7.0 6.2 6.5 High School Diploma 7.9 7.0 6.0 7.0 6.4 6.9 College or Higher 4.3 4.5 4.7 4.4 4.9 4.6 Unknown1 - - - - - - Total 6.0 5.6 5.6 5.7 5.6 5.7

1 Rates for the Other/Unknown group were excluded to better understand other Education levels’ trend




Table 2.09a Infant Mortality by Birthweight 2008-2012 (Linked)

Birthweight Number of Infant Deaths 2008 2009 2010 2011 2012 Total

<1500 Grams 189 174 152 162 152 829 1500-2499 Grams 64 44 40 50 56 254 2500-4249 Grams 118 100 109 86 94 507 >4249 Grams 3 4 3 6 2 18 Unknown 0 1 1 1 0 3 Total 374 323 305 305 304 1,611

Table 2.09b Infant Mortality Rates by Birthweight 2008-2012 (Linked) Infant Mortality per 1,000 Live Births

Birthweight Infant Mortality Rate per 1,000 Live Births

2008 2009 2010 2011 2012 Total <1500 Grams 264.7 252.2 264.3 246.2 238.6 253.2 1500-2499 Grams 17.5 12.8 12.2 16.3 18.1 15.4 2500-4249 Grams 2.1 1.9 2.2 1.8 1.9 2.0 >4249 Grams 1.6 2.4 1.9 3.6 1.1 2.1 Unknown1 - - - - - - Total 6.0 5.6 5.6 5.7 5.6 5.7

1 Rates for the Other/Unknown group were excluded to better understand other Birth weights’ trend

Table 2.10 Infant Mortality and Rates by Age of Infant 2008-2012 (Linked & Unlinked)

Number of Infant Deaths 2008 2009 2010 2011 2012 Total

Linked Data

Neonatal (≤ 28 Days) 254 220 198 203 210 1,085 Postnatal (> 28 Days) 120 103 107 102 94 526 Total 374 323 305 305 304 1,611

Unlinked Data

Neonatal (≤ 28 Days) 257 222 200 203 218 1,100 Postnatal (> 28 Days) 124 107 111 105 105 552 Total 381 329 311 308 323 1,652

Infant Mortality Rates per 1,000 Live Births

2008 2009 2010 2011 2012 Total

Linked Data

Neonatal (≤ 28 Days) 4.1 3.8 3.7 3.8 3.9 3.8 Postnatal (> 28 Days) 1.9 1.8 2.0 1.9 1.7 1.9 Total 6.1 6.1 6.0 5.3 5.6 5.7

Unlinked Data

Neonatal (≤ 28 Days) 4.1 3.9 3.7 3.8 4.0 3.9 Postnatal (> 28 Days) 2.0 1.9 2.0 2.0 1.9 2.0 Total 6.1 6.3 6.1 5.3 5.9 5.9



Maricopa County Five-Year Health Trends Table 2.11a Infant Mortality by Age of Infant and Race/Ethnicity of Mother 2008-2012

(Linked)

Linked Infant Mortality-Number of Infant Deaths 2008 2009 2010 2011 2012 Total

Neonatal (≤ 28 Days)


Postnatal (> 28 Days)

White 53 47 38 40 33 211 Hispanic 41 34 44 41 33 193 African American 18 17 13 8 12 68 American Indian 3 2 5 8 7 25 Asian 4 3 1 1 0 9 Other/Unknown 1 0 6 4 9 20 Total 120 103 107 102 94 526

Table 2.11b Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother

2008-2012 (Linked) Infant Mortality per 1,000 Live Births Linked Infant Mortality-Infant Mortality Rate per 1,000 Live Births

2008 2009 2010 2011 2012 Total

Neonatal (≤ 28 Days)

White 3.5 3.3 3.1 3.5 3.0 1.4 Hispanic 3.5 3.3 3.7 3.7 4.1 1.5 African American 10.5 8.7 7.2 6.9 8.3 0.5 American Indian 2.7 6.4 3.2 1.9 1.8 0.1 Asian 9.8 6.0 0 0 0.4 0.1 Other/Unknown1 - - - - - - Total 4.1 3.8 3.7 3.8 3.9 3.8

Postnatal (> 28 Days)

White 2.0 1.9 1.6 1.6 1.3 0.7 Hispanic 1.4 1.3 2.0 1.9 1.5 0.7 African American 5.7 5.3 4.0 2.5 3.4 0.2 American Indian 1.6 1.2 3.2 5.0 4.3 0.1 Asian 1.6 1.3 0.4 0.4 0.0 0.0 Other/Unknown1 - - - - - - Total 1.9 1.8 2.0 1.9 1.7 1.9

1 Rates are not calculated for Other/Unknown race and ethnicity due to unreliable/unstable counts.



Maricopa County Five-Year Health Trends Table 2.12a Infant Mortality by Race/Ethnicity of Infant 2008-2012 (Unlinked)

Race/Ethnicity of Infant Number of Infant Deaths 2008 2009 2010 2011 2012 Total


Table 2.12b Infant Mortality Rates by Race/Ethnicity of Infant 2008-2012 (Unlinked) Infant Mortality per 1,000 Live Births

Race/Ethnicity of Infant Infant Mortality Rate per 1,000 Live Births

2008 2009 2010 2011

2012 White 4.6 4.9 3.7 4.2 4.2 Hispanic 5.8 5.1 6.7 6.9 7.1 African American 16.3 16.5 10.9 8.5 12.0 American Indian 4.2 6.4 3.8 4.4 4.9 Asian 8.2 5.1 1.3 1.2 0.7 Other/Unknown1 - - - - - Total 6.0 5.7 5.7 5.8 5.9

1 Rates are not calculated for Other/Unknown race and ethnicity due to unreliable/unstable counts.




Table 2.13a Number of Confirmed and Probable Cases of Selected Diseases1, 2008-2012

Disease Number of Cases

2008 2009 2010 2011 2012

Vaccine Preventable

H. influenzae Type B2 3 1 2 1 1 Measles 0 0 0 1 0 Mumps 1 4 4 0 3 Pertussis 197 236 409 698 867

Central Nervous System

Encephalitis Viral Other 7 1 2 4 1 Aseptic Meningitis, Viral 571 435 642 321 386 Meningococcal Invasive Disease 4 6 8 14 3

Enterics

Amebiasis 7 0 1 8 5 Botulism 3 3 0 5 0 Botulism, Infant3 0 0 0 0 1 Campylobacteriosis 645 520 548 534 526 Cholera 0 0 0 0 0 Cryptosporidiosis 71 24 23 32 37 E. coli O157.H7 49 47 63 79 90 Giardiasis 60 116 106 73 59 Listeriosis 5 5 6 6 7 Norovirus4,5 64 40 77 70 113 Salmonella Paratyphi 5 3 3 3 0 Salmonellosis 574 560 508 385 430 Shigellosis 428 553 245 210 211 Typhoid 2 2 6 1 5

Mycosis Coccidioidomycosis 3,525 8,078 9,460 13,404 10,148

Zoonoses/ Vectorborne

Brucellosis 2 2 6 3 4 Dengue 5 5 7 3 7 Hantavirus Pulm. Syndrome 0 0 0 1 0 Lyme Disease 8 3 0 7 3 Malaria 10 9 20 17 15 West Nile Virus 90 19 115 45 90

Hepatitides Hepatitis A 70 30 33 56 43 Hepatitis B (Acute) 115 145 94 135 75 Hepatitis D 0 0 0 0 0

Other

Legionellosis 21 37 44 28 29 MRSA, Invasive 915 806 798 805 726 RSV4,5 109 1,928 1,718 2,404 1,922 Streptococcal Group A Invasive 112 85 101 112 112 Streptococcal Group B6 Invasive 34 27 30 24 38 Streptococcus pneumoniae Invasive 574 474 423 434 387 Toxic Shock Syndrome 1 1 3 2 1 Vibrio Infection 12 9 13 16 17 Yersiniosis 4 6 1 4 8 Hansen's Disease4 0 0 0 0 0

Tuberculosis4 109 138 153 117 108

Sexually Transmitted Diseases

Genital Herpes4 969 693 1,128 1,360 1,081 Gonorrhea4 2,135 2,264 2,290 3,236 4,364 Syphilis – Primary and Secondary4,7 234 160 159 200 162 Syphilis – All Others4,7 650 496 475 430 457 Chlamydia4 13,426 14,658 15,616 16,723 19,132 HIV4 376 337 290 315 395 AIDS4 386 346 320 249 215

All Others 290 316 194 546 397 Total 26,931 33,677 36,204 43,175 43,429

1Unless otherwise indicated, numbers represent confirmed and probable cases. 2Beginning with the 2008-2012 report, only H. influenzae Type B cases are shown. 3Botulism, Infant cases occur among children aged less than 1 year. 4Confirmed cases only

5Norovirus and respiratory syncytial virus (RSV) were not reported to health departments until April 2008. 6Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 7Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov

Table 2.13b Case Rates per 100,000 Residents for Selected Diseases1, 2008-2012


Disease Rate of Disease

2008 2009 2010 2011 2012

Vaccine Preventable

H. influenzae Type B2 0.1 0.0 0.1 0.0 0.0 Measles 0.0 0.0 0.0 0.0 0.0 Mumps 0.0 0.1 0.1 0.0 0.1 Pertussis 5.2 6.2 10.7 18.0 22.0

Central Nervous System

Encephalitis Viral Other 0.2 0.0 0.1 0.1 0.0 Meningitis Viral/Aseptic 15.1 11.4 16.8 8.3 9.8 Meningococcal Invasive Disease 0.1 0.2 0.2 0.4 0.1

Enterics

Amebiasis 0.2 0.0 0.0 0.2 0.1 Botulism 0.1 0.1 0.0 0.1 0.0 Botulism, Infant3 0.0 0.0 0.0 0.0 0.4 Campylobacteriosis 17.1 13.7 14.4 13.8 13.3 Cholera 0.0 0.0 0.0 0.0 0.0 Cryptosporidiosis 1.9 0.6 0.6 0.8 0.9 E. coli O157.H7 1.3 1.2 1.7 2.0 2.3 Giardiasis 1.6 3.0 2.8 1.9 1.5 Listeriosis 0.1 0.1 0.2 0.2 0.2 Norovirus4,5 1.7 1.1 2.0 1.8 2.9 Salmonella Paratyphi 0.1 0.1 0.1 0.1 0.0 Salmonellosis 15.2 14.7 13.3 9.9 10.9 Shigellosis 11.3 14.5 6.4 5.4 5.4 Typhoid 0.1 0.1 0.2 0.0 0.1

Mycosis Coccidioidomycosis 93.5 212.4 247.8 345.4 257.4

Zoonoses/ Vectorborne

Brucellosis 0.1 0.1 0.2 0.1 0.1 Dengue 0.1 0.1 0.2 0.1 0.2 Hantavirus Pulm. Syndrome 0.0 0.0 0.0 0.0 0.0 Lyme Disease 0.2 0.1 0.0 0.2 0.1 Malaria 0.3 0.2 0.5 0.4 0.4 West Nile Virus 2.4 0.5 3.0 1.2 2.3

Hepatitides Hepatitis A 1.9 0.8 0.9 1.4 1.1 Hepatitis B (Acute) 3.0 3.8 2.5 3.5 1.9 Hepatitis D 0.0 0.0 0.0 0.0 0.0

Other

Legionellosis 0.6 1.0 1.2 0.7 0.7 MRSA, Invasive 24.3 21.2 20.9 20.7 18.4 RSV4,5 2.9 50.7 45 62 48.8 Streptococcal Group A Invasive 3.0 2.2 2.6 2.9 2.8 Streptococcal Group B6 Invasive 0.5 0.5 0.6 0.4 0.7 Streptococcus pneumoniae Invasive 15.2 12.5 11.1 11.2 9.8 Toxic Shock Syndrome 0.0 0.0 0.1 0.1 0.0 Vibrio Infection 0.3 0.2 0.3 0.4 0.4 Yersiniosis 0.1 0.2 0.0 0.1 0.2

Hansen's Disease4 0.0 0.0 0.0 0.0 0.0 Tuberculosis4 2.9 3.6 4.0 3.0 2.7

Sexually Transmitted Diseases

Genital Herpes4 25.7 18.2 29.6 35 27.4 Gonorrhea4 56.6 59.5 60 83.4 110.7 Syphilis – Primary and Secondary4,7 6.2 4.2 4.2 5.2 4.1 Syphilis – All Others4,7 17.2 13 12.4 11.1 11.6 Chlamydia4 356 385.4 409.1 431 485.3 HIV4 10 8.9 7.6 8.1 10.0 AIDS4 10.2 9.1 8.4 6.4 5.5

All Others 7.7 8.3 5.1 14.1 10.1 Total 714.1 885.4 948.5 1,112.70 1101.7

1Unless otherwise indicated, numbers represent confirmed and probable cases. 2Beginning with the 2008-2012 report, only H. influenzae Type B cases are shown. 3Rates for Botulism, Infant among children aged <1 year are per 100,000 residents in age group ‘0-4’ 4Confirmed cases only 5Norovirus and respiratory syncytial virus (RSV) were not reported to health departments until April 2008.

6Rates for Streptococcus Group B Invasive disease infants <90 days are per 1,000 live births 7Symptoms in adults are divided into four stages (primary, secondary, latent, & late syphilis). For more information please visit www.cdc.gov

Table 2.14a Congenital Syphilis by Race/Ethnicity and Year Number of Cases, 2008-2012


Race/Ethnicity Number of Cases

2008 2009 2010 2011 2012 White 3 2 7 3 3 Hispanic 11 7 5 4 4 African American 2 1 1 1 2 American Indian 3 1 0 2 1 Asian 0 1 0 0 0 Other/Unknown 0 0 0 0 0 Total 19 12 13 10 10

Table 2.14b Congenital Syphilis by Race/Ethnicity and Year Case Rates per 100,000 Live Births, 2008-2012

Race/Ethnicity Rate of Disease

2008 2009 2010 2011 2012 White 11.4 8.1 28.6 12.1 5.5 Hispanic 40.7 27.5 22.3 18.9 7.3 African American 61.1 31.2 31.1 31.4 3.7 American Indian 154.6 57.8 0 126.1 1.8 Asian 0 42.6 0 0 0 Other/Unknown - - - - - Total 30.3 20.8 23.9 18.7 18.4

Table 2.15 Hansen’s Disease Prevalence1

Total number of cases reported in Maricopa County as of August 15, 2013

Gender Male 17 Female 13 Total 30

Age at Diagnosis 0-9 0 10-14 0 15-19 0 20-24 1 25-34 8 35-44 4 45-54 4 55-64 5 65 and Older 8 Unknown 0 Total 30

1This table includes all known “active” cases of Hansen’s disease in Maricopa County, diagnosed between 1955 and 2012. Please note: to be considered “active,” the prevalent cases being treated, managed, and followed-up at MCDPH and the Hansen’s disease clinic have to be seen by a Hansen’s disease physician, physical therapist, or occupational therapist within the past 5 years. Validation of past data revealed cases that were no longer “active,” causing a drop in the number of “active” cases between the 2007-2011 five-year trend report and the current 2008-2012 five-year trend report.


Table 2.16a Primary Diagnosis Groups, Inpatient Hospitalizations, 2008-2012 Number of Discharges

Primary Diagnosis Inpatient Discharges

Total 2008 2009 2010 2011 2012

Infectious and parasitic diseases

Septicemia 6,838 7,713 9,482 12,849 15,611 52,493 Other Infectious and parasitic diseases 7,164 7,511 7,962 7,492 7,355 37,484 All 14,002 15,224 17,444 20,341 22,966 89,977

Neoplasms Neoplasms - Other Malignant 8,726 8,625 8,501 8,227 8,141 42,220 Malignant Neoplasm of large intestine & rectum 1,392 1,380 1,341 1,284 1,359 6,756 Malignant neoplasm of trachea, bronchus & lung 1,499 1,548 1,499 1,369 1,326 7,241 Malignant neoplasm of breast 706 768 770 692 637 3,573 Neoplasms - Benign 3,793 3,850 3,595 3,215 2,729 17,182 Neoplasms - Other 540 611 612 668 642 3,073 All 16,656 16,782 16,318 15,455 14,834 80,045

Endocrine, nutritional and metabolic diseases, and immunity disorders

Diabetes mellitus 5,678 6,258 6,378 6,793 6,562 31,669 Volume depletion (dehydration) 191 195 235 229 222 1,072 Other Endocrine, nutritional and metabolic diseases, and immunity disorders 8,865 9,077 8,558 8,437 7,674 42,611

All 14,734 15,530 15,171 15,459 14,458 75,352 Diseases of the blood and blood-forming organs 3,829 4,255 4,618 4,682 4,604 21,988 Mental disorders Psychoses 7,384 7,254 7,506 9,117 9,489 40,750

Alcohol dependence syndrome 272 426 424 598 631 2,351 Other Mental disorders 1,563 1,721 1,906 2,066 2,087 9,343 All 9,219 9,401 9,836 11,781 12,207 52,444

Diseases of the nervous system and sense organs 8,863 9,150 9,916 10,346 9,886 48,161 Diseases of the circulatory system

Heart disease 9,564 10,584 11,590 12,010 11,901 55,649 Acute myocardial infarction 5,293 5,107 5,360 5,271 5,361 26,392 Coronary atherosclerosis 10,150 9,395 7,593 6,172 4,740 38,050 Other ischemic heart disease 331 344 335 333 282 1,625 Cardiac dysrhythmias 8,975 9,031 9,466 9,386 9,428 46,286

(Continued)



Total 2008 2009 2010 2011 2012

Congestive heart failure 3,742 2,746 2,280 1,514 1,034 11,316 Cerebrovascular disease 9,932 9,935 10,179 10,092 10,118 50,256 Other Diseases of the circulatory system 10,724 11,067 11,373 10,916 9,632 53,712 All 58,711 58,209 58,176 55,694 52,496 283,286

Diseases of the respiratory system

Acute bronchitis and bronchiolitis 2,805 2,774 3,148 3,162 2,448 14,337 Pneumonia 9,673 10,527 10,077 10,096 9,145 49,518 Chronic bronchitis 4,580 5,020 5,230 5,550 5,065 25,445 Asthma 4,895 5,528 5,327 4,831 4,517 25,098 Other Diseases of the respiratory system 11,080 12,035 10,738 11,532 10,764 56,149 All 33,033 35,884 34,520 35,171 31,939 170,547

Diseases of the digestive system

Appendicitis 5,189 5,202 5,061 4,640 3,779 23,871 Noninfectious enteritis and colitis 3,417 3,675 4,031 3,938 3,910 18,971 Cholelithiasis 621 665 896 886 945 4,013 Other Diseases of the digestive system 31,317 33,629 36,017 35,587 33,708 170,258 All 40,544 43,171 46,005 45,051 42,342 217,113

Diseases of the genitourinary system

Calculus of kidney and ureter 2,068 2,338 2,663 2,707 2,676 12,452 Other Diseases of the genitourinary system 20,664 20,755 20,304 19,423 17,815 98,961 All 22,732 23,093 22,967 22,130 20,491 111,413

Diseases of the skin and subcutaneous tissue

Cellulitis and abscess 8,184 8,587 9,198 9,277 8,909 44,155 Other Diseases of the skin and subcutaneous tissue 1,195 1,272 1,311 1,294 1,183 6,255 All 9,379 9,859 10,509 10,571 10,092 50,410

Diseases of the musculoskeletal system and connective tissue

Osteoarthrosis and allied disorders 9,317 10,146 10,796 10,815 11,229 52,303 Intervertebral disc disorders 2,786 2,998 3,176 2,981 2,788 14,729 Other - Diseases of the musculoskeletal system and connective tissue 9,072 9,375 10,266 9,872 9,467 48,052

All 21,175 22,519 24,238 23,668 23,484 115,084 Congenital anomalies 1,855 1,812 1,578 1,776 1,657 8,678 Certain conditions originating in the perinatal period 2,817 2,462 2,130 1,923 1,996 11,328

(Table 2.16a Continued)

(Continued)



Total 2008 2009 2010 2011 2012

Symptoms, signs, and ill-defined conditions 22,229 21,354 23,295 20,699 16,092 103,669 Injury and poisoning Fracture of neck of femur 3,163 3,319 3,326 3,441 3,382 16,631

Fractures, all other sites 9,240 9,749 10,020 10,007 9,561 48,577 Poisonings 4,104 4,304 4,601 4,774 4,709 22,492 Other Injury and poisoning 20,539 21,714 22,952 22,279 21,293 108,777 All 37,046 39,086 40,899 40,501 38,945 196,477

Other healthcare encounters

Rehab Services 3,570 5,293 4,142 3,242 2,920 19,167 Other healthcare encounters 3,168 3,242 2,978 2,922 2,884 15,194 All 6,738 8,535 7,120 6,164 5,804 34,361

Unknown 0 1 1 0 3 5 Total 312,068 323,563 336,327 341,412 324,293 1,637,663

Note: Pregnant women, newborns, Long Term Acute Care Hospitals, and Rehabilitation Hospitals excluded



Table 2.16b Primary Diagnosis Groups, Inpatient Hospitalizations, 2008-2012 Crude Hospitalization Rate per 100,000 Residents


2008 2009 2010 2011 2012 Infectious and parasitic diseases

Septicemia 181.3 202.8 248.4 331.1 396.0 Other Infectious and parasitic diseases 190.0 197.5 208.6 193.1 186.6 All 371.3 400.2 457.0 524.2 582.6

Neoplasms Neoplasms - Other Malignant 231.4 226.7 222.7 212.0 206.5 Malignant Neoplasm of large intestine & rectum 36.9 36.3 35.1 33.1 34.5 Malignant neoplasm of trachea, bronchus & lung 39.8 40.7 39.3 35.3 33.6 Malignant neoplasm of breast 18.7 20.2 20.2 17.8 16.2 Neoplasms - Benign 100.6 101.2 94.2 82.9 69.2 Neoplasms - Other 14.3 16.1 16.0 17.2 16.3 All 441.7 441.2 427.5 398.3 376.3


Diabetes mellitus 150.6 164.5 167.1 175.1 166.5 Volume depletion (dehydration) 5.1 5.1 6.2 5.9 5.6 Other Endocrine, nutritional and metabolic diseases, and immunity disorders 235.1 238.6 224.2 217.4 194.7

All 390.7 408.3 397.4 398.4 366.8 Diseases of the blood and blood-forming organs 101.5 111.9 121.0 120.7 116.8 Mental disorders Psychoses 195.8 190.7 196.6 235.0 240.7

Alcohol dependence syndrome 7.2 11.2 11.1 15.4 16.0 Other Mental disorders 41.4 45.2 49.9 53.2 52.9 All 244.5 247.1 257.7 303.6 309.7

Diseases of the nervous system and sense organs 235.0 240.6 259.8 266.6 250.8 Diseases of the circulatory system

Heart disease 253.6 278.2 303.6 309.5 301.9 Acute myocardial infarction 140.4 134.3 140.4 135.8 136.0 Coronary atherosclerosis 269.2 247.0 198.9 159.1 120.2 Other ischemic heart disease 8.8 9.0 8.8 8.6 7.2 Cardiac dysrhythmias 238.0 237.4 248.0 241.9 239.2

(Continued)



2008 2009 2010 2011 2012 Congestive heart failure 99.2 72.2 59.7 39.0 26.2 Cerebrovascular disease 263.4 261.2 266.7 260.1 256.7 Other Diseases of the circulatory system 284.4 290.9 297.9 281.3 244.3 All 1,556.9 1,530.3 1,524.1 1,435.3 1,331.7

Diseases of the respiratory system

Acute bronchitis and bronchiolitis 74.4 72.9 82.5 81.5 62.1 Pneumonia 256.5 276.8 264.0 260.2 232.0 Chronic bronchitis 121.5 132.0 137.0 143.0 128.5 Asthma 129.8 145.3 139.6 124.5 114.6 Other Diseases of the respiratory system 293.8 316.4 281.3 297.2 273.0 All 876.0 943.4 904.3 906.4 810.2

Diseases of the digestive system

Appendicitis 137.6 136.8 132.6 119.6 95.9 Noninfectious enteritis and colitis 90.6 96.6 105.6 101.5 99.2 Cholelithiasis 16.5 17.5 23.5 22.8 24.0 Other Diseases of the digestive system 830.5 884.1 943.6 917.1 855.1 All 1,075.1 1,135.0 1,205.2 1,161.0 1,074.1


Calculus of kidney and ureter 54.8 61.5 69.8 69.8 67.9 Other Diseases of the genitourinary system 548.0 545.6 531.9 500.6 451.9 All 602.8 607.1 601.7 570.3 519.8

Diseases of the skin and subcutaneous tissue

Cellulitis and abscess 217.0 225.7 241.0 239.1 226.0 Other Diseases of the skin and subcutaneous tissue 31.7 33.4 34.3 33.3 30.0 All 248.7 259.2 275.3 272.4 256.0


Osteoarthrosis and allied disorders 247.1 266.7 282.8 278.7 284.8 Intervertebral disc disorders 73.9 78.8 83.2 76.8 70.7 Other - Diseases of the musculoskeletal system and connective tissue 240.6 246.5 268.9 254.4 240.1

All 561.5 592.0 635.0 610.0 595.7 Congenital anomalies 49.2 47.6 41.3 45.8 42.0 Certain conditions originating in the perinatal period 74.7 64.7 55.8 49.6 50.6

(Continued)

(Table 2.16b Continued)



2008 2009 2010 2011 2012 Symptoms, signs, and ill-defined conditions 589.5 561.4 610.3 533.4 408.2 Injury and poisoning Fracture of neck of femur 83.9 87.3 87.1 88.7 85.8

Fractures, all other sites 245.0 256.3 262.5 257.9 242.5 Poisonings 108.8 113.2 120.5 123.0 119.5 Other Injury and poisoning 544.6 570.9 601.3 574.2 540.1 All 982.4 1,027.6 1,071.5 1,043.8 987.9

Other healthcare encounters

Rehab Services 94.7 139.2 108.5 83.6 74.1 Other healthcare encounters 84.0 85.2 78.0 75.3 73.2 All 178.7 224.4 186.5 158.9 147.2

Unknown 0.0 0.0 0.0 0.0 0.1 Total 8,275.3 8,506.4 8,811.0 8,798.7 8,226.3

Note: Pregnant women, newborns, Long Term Acute Care Hospitals, and Rehabilitation Hospitals excluded



Table 2.17a Primary Diagnosis Groups, Emergency Department, 2008-2012 Number of Discharges

Primary Diagnosis Emergency Department Visits

Total 2008 2009 2010 2011 2012 Infectious and parasitic diseases Septicemia 91 77 104 125 188 585

Other Infectious and parasitic diseases 24,818 30,090 22,126 23,130 24,651 124,815

All 24,909 30,167 22,230 23,255 24,839 125,400 Neoplasms Neoplasms - Other Malignant 282 324 355 405 599 1,965

Malignant Neoplasm of large intestine & rectum 24 13 33 36 57 163

Malignant neoplasm of trachea, bronchus & lung 63 80 70 99 103 415

Malignant neoplasm of breast 24 35 33 25 56 173 Neoplasms - Benign 473 533 582 629 697 2,914 Neoplasms - Other 116 101 91 141 146 595 All 982 1,086 1,164 1,335 1,658 6,225


Diabetes mellitus 5,299 5,370 5,407 5,913 6,570 28,559 Volume depletion (dehydration) 35 24 37 67 40 203 Other Endocrine, nutritional and metabolic diseases, and immunity disorders

9,513 9,301 9,122 10,086 10,803 48,825

All 14,847 14,695 14,566 16,066 17,413 77,587 Diseases of the blood and blood-forming organs 2,880 2,940 3,167 3,517 3,775 16,279 Mental disorders Other Mental disorders 19,661 20,863 24,344 26,108 27,458 118,434

Psychoses 4,584 4,836 5,893 6,723 7,124 29,160 Alcohol dependence syndrome 1,239 1,201 1,483 1,803 1,773 7,499 All 25,484 26,900 31,720 34,634 36,355 155,093

Diseases of the nervous system and sense organs 64,280 63,634 61,737 66,872 70,497 327,020 Diseases of the circulatory system Heart disease 449 452 484 759 959 3,103

Acute myocardial infarction 390 371 364 441 461 2,027 Coronary atherosclerosis 249 267 458 640 779 2,393

(Continued)



Total 2008 2009 2010 2011 2012 Other ischemic heart disease 518 481 496 553 637 2,685 Cardiac dysrhythmias 4,673 4,567 4,763 5,482 5,868 25,353 Congestive heart failure 1,128 995 1,028 1,132 1,141 5,424 Cerebrovascular disease 1,534 1,497 1,616 2,169 2,316 9,132 Other Diseases of the circulatory system 10,995 11,339 12,204 13,987 15,837 64,362

All 19,936 19,969 21,413 25,163 27,998 114,479 Diseases of the respiratory system Acute bronchitis and bronchiolitis 15,174 15,160 12,915 14,986 16,583 74,818

Pneumonia 11,740 14,087 11,944 12,097 12,019 61,887 Chronic bronchitis 1,938 1,754 1,976 2,419 2,627 10,714 Asthma 15,581 16,428 16,174 16,236 19,021 83,440 Other Diseases of the respiratory system 68,978 83,517 63,189 72,370 73,215 361,269

All 113,411 130,946 106,198 118,135 123,456 592,146 Diseases of the digestive system Appendicitis 712 749 1,016 1,655 2,394 6,526

Noninfectious enteritis and colitis 11,353 10,930 10,856 10,367 12,468 55,974 Cholelithiasis 88 89 91 156 160 584 Other Diseases of the digestive system 44,699 46,634 48,672 53,868 58,108 251,981

All 56,852 58,402 60,635 66,046 73,130 315,065 Diseases of the genitourinary system

Calculus of kidney and ureter 10,751 10,868 10,705 11,301 11,231 54,856 Other Diseases of the genitourinary system 51,543 53,002 55,414 59,082 61,510 280,551

All 62,294 63,870 66,119 70,383 72,741 335,407 Complications of pregnancy, childbirth, & the puerperium 31,401 30,830 29,694 32,458 35,717 160,100 Diseases of the skin and subcutaneous tissue

Cellulitis and abscess 24,534 23,835 24,405 24,616 24,923 122,313 Other Diseases of the skin and subcutaneous tissue 17,061 16,783 17,081 17,796 18,183 86,904

All 41,595 40,618 41,486 42,412 43,106 209,217 Diseases of the musculoskeletal Osteoarthrosis and allied disorders 535 507 559 583 653 2,837


(Continued)



Total 2008 2009 2010 2011 2012 system and connective tissue Intervertebral disc disorders 1,076 1,085 1,089 1,267 1,306 5,823

Other - Diseases of the musculoskeletal system and connective tissue

66,502 68,997 73,763 79,186 79,784 368,232

All 68,113 70,589 75,411 81,036 81,743 376,892 Congenital anomalies 305 301 274 325 352 1,557 Certain conditions originating in the perinatal period 1,998 1,697 1,658 1,717 1,915 8,985 Symptoms, signs, and ill-defined conditions

Headache 21,314 23,120 25,007 25,695 25,522 120,658 Abdominal Pain 59,165 61,377 69,326 75,638 78,437 343,943 Chest Pain 37,265 39,610 45,259 55,610 62,043 239,787 Fever 20,047 25,805 17,805 18,238 20,264 102,159 Nausea/vomiting 18,656 20,888 22,293 22,689 25,076 109,602 Other Symptoms, signs, and ill-defined conditions 79,225 82,578 84,673 95,746 101,930 444,152

All 235,672 253,378 264,363 293,616 313,272 1,360,301 Injury and poisoning Fracture of neck of femur 236 209 207 200 290 1,142

Fractures, all sites 31,389 30,333 30,882 30,503 31,405 154,512 Poisonings 9,607 10,320 10,797 11,530 11,056 53,310 Injury and poisoning 194,242 196,842 201,705 206,213 208,183 1,007,185 All 235,474 237,704 243,591 248,446 250,934 1,216,149

Newborn Infant 8 5 13 6 5 37 Other Healthcare Encounters 21,056 23,137 23,947 27,128 26,820 122,088 Unknown 18 1 2 0 0 21 Total 1,021,515 1,070,869 1,069,388 1,152,550 1,205,735 5,520,057



Table 2.17b Primary Diagnosis Groups, Emergency Department, 2008-2012 Crude Rates per 100,000 Residents

Primary Diagnosis Rate of Emergency Department Visits

2008 2009 2010 2011 2012 Infectious and parasitic diseases Septicemia 2.4 2.0 2.7 3.2 4.8

Other Infectious and parasitic diseases 658.1 791.1 579.7 596.1 625.3 All 660.5 793.1 582.4 599.3 630.1

Neoplasms Neoplasms - Other Malignant 7.5 8.5 9.3 10.4 15.2 Malignant Neoplasm of large intestine & rectum 0.6 0.3 0.9 0.9 1.4 Malignant neoplasm of trachea, bronchus & lung 1.7 2.1 1.8 2.6 2.6 Malignant neoplasm of breast 0.6 0.9 0.9 0.6 1.4 Neoplasms - Benign 12.5 14.0 15.2 16.2 17.7 Neoplasms - Other 3.1 2.7 2.4 3.6 3.7 All 26.0 28.6 30.5 34.4 42.1


Diabetes mellitus 140.5 141.2 141.7 152.4 166.7 Volume depletion (dehydration) 0.9 0.6 1.0 1.7 1.0 Other Endocrine, nutritional and metabolic diseases, and immunity disorders 252.3 244.5 239.0 259.9 274.0

All 393.7 386.3 381.6 414.0 441.7 Diseases of the blood and blood-forming organs 76.4 77.3 83.0 90.6 95.8 Mental disorders Psychoses 521.4 548.5 637.8 672.8 696.5

Alcohol dependence syndrome 121.6 127.1 154.4 173.3 180.7 Other Mental disorders 32.9 31.6 38.9 46.5 45.0 All 675.8 707.2 831.0 892.6 922.2

Diseases of the nervous system and sense organs 1,704.6 1,672.9 1,617.4 1,723.4 1,788.3 Diseases of the circulatory system Heart disease 11.9 11.9 12.7 19.6 24.3

Acute myocardial infarction 10.3 9.8 9.5 11.4 11.7 Coronary atherosclerosis 6.6 7.0 12.0 16.5 19.8 Other ischemic heart disease 13.7 12.6 13.0 14.3 16.2 Cardiac dysrhythmias 123.9 120.1 124.8 141.3 148.9

(Continued)



2008 2009 2010 2011 2012 Congestive heart failure 29.9 26.2 26.9 29.2 28.9 Cerebrovascular disease 40.7 39.4 42.3 55.9 58.7 Other Diseases of the circulatory system 291.6 298.1 319.7 360.5 401.7 All 528.7 525.0 561.0 648.5 710.2

Diseases of the respiratory system Acute bronchitis and bronchiolitis 402.4 398.6 338.3 386.2 420.7 Pneumonia 311.3 370.3 312.9 311.8 304.9 Chronic bronchitis 51.4 46.1 51.8 62.3 66.6 Asthma 413.2 431.9 423.7 418.4 482.5 Other Diseases of the respiratory system 1,829.1 2,195.6 1,655.4 1,865.1 1,857.2 All 3,007.4 3,442.5 2,782.2 3,044.5 3,131.7

Diseases of the digestive system Appendicitis 18.9 19.7 26.6 42.7 60.7 Noninfectious enteritis and colitis 301.1 287.3 284.4 267.2 316.3 Cholelithiasis 2.3 2.3 2.4 4.0 4.1 Other Diseases of the digestive system 1,185.3 1,226.0 1,275.1 1,388.3 1,474.0 All 1,507.6 1,535.4 1,588.5 1,702.1 1,855.1


Calculus of kidney and ureter 285.1 285.7 280.4 291.2 284.9 Other Diseases of the genitourinary system 1,366.8 1,393.4 1,451.7 1,522.6 1,560.3 All 1,651.9 1,679.1 1,732.2 1,813.9 1,845.2

Complications of pregnancy, childbirth, & the puerperium 832.7 810.5 777.9 836.5 906.0 Diseases of the skin and subcutaneous tissue

Cellulitis and abscess 650.6 626.6 639.4 634.4 632.2 Other Diseases of the skin and subcutaneous tissue 452.4 441.2 447.5 458.6 461.2 All 1,103.0 1,067.8 1,086.8 1,093.0 1,093.5


Osteoarthrosis and allied disorders 14.2 13.3 14.6 15.0 16.6 Intervertebral disc disorders 28.5 28.5 28.5 32.7 33.1 Other - Diseases of the musculoskeletal system and connective tissue 1,763.5 1,813.9 1,932.4 2,040.7 2,023.9

All 1,806.2 1,855.8 1,975.6 2,088.4 2,073.6 Congenital anomalies 8.1 7.9 7.2 8.4 8.9


(Continued)



2008 2009 2010 2011 2012 Certain conditions originating in the perinatal period 53.0 44.6 43.4 44.2 48.6 Symptoms, signs, and ill-defined conditions

Headache 565.2 607.8 655.1 662.2 647.4 Abdominal Pain 1,568.9 1,613.6 1,816.2 1,949.3 1,989.7 Chest Pain 988.2 1,041.3 1,185.7 1,433.2 1,573.8 Fever 531.6 678.4 466.5 470.0 514.0 Nausea/vomiting 494.7 549.1 584.0 584.7 636.1 Other Symptoms, signs, and ill-defined conditions 2,100.9 2,170.9 2,218.2 2,467.5 2,585.6 All 6,249.5 6,661.2 6,925.7 7,566.9 7,946.7

Injury and poisoning Fracture of neck of femur 6.3 5.5 5.4 5.2 7.4 Fractures, all other sites 832.4 797.4 809.0 786.1 796.6 Poisonings 254.8 271.3 282.9 297.1 280.5 Other Injury and poisoning 5,150.9 5,174.9 5,284.2 5,314.4 5,280.9 All 6,244.2 6,249.2 6,381.5 6,402.8 6,365.4

Newborn Infant 0.2 0.1 0.3 0.2 0.1 Other Healthcare Encounters 558.4 608.3 627.4 699.1 680.3 Unknown 0.5 0.0 0.1 0.0 0.0 Total 27,088.3 28,152.8 28,015.6 29,703.0 30,585.6


III. Technical NotesPopulation Statistics

Population statistics are shown in Tables 1.01 through 1.11. This report used the most recent U.S. Census data and estimates for population figures at the time of analysis.

• The Maricopa County population for 2001 through 2009 is from the U.S. Census Bureau,2000-2010 Intercensal Population Estimates by Age, Sex, Race and Hispanic Origin releasedOctober 2012. This is at Population Estimates: County Intercensal Estimates (2000-2010):Annual Population Estimates - U.S Census Bureau. The population for 2010 is from the U.S.Census Bureau, 2010 Census by Age, Sex, Race and Hispanic Origin released July 21,2011. This is athttp://www2.census.gov/census_2010/03-Demographic_Profile/Arizona/az2010.dp.zip.The population for 2011 is from the U.S. Census Bureau, County Population Estimates byAge, Sex, Race, and Hispanic Origin for July 1, 2011 released May 2012. This isat http://www.census.gov/popest/data/counties/asrh/2011/files/CC-EST2011-6RACE-04.csv.The population for 2012 is from the U.S. Census Bureau, County Characteristics Datasets:Annual County Resident Population Estimates by Age, Sex, Race, and Hispanic Origin: April1, 2010 to July 1, 2012. This is at http://www.census.gov/popest/data/counties/asrh/2012/CC-EST2012-ALLDATA.html.

• The Arizona population for 2001 through 2009 is from the U.S. Census Bureau, 2000-2010Intercensal Population Estimates and can befound http://www.census.gov/popest/data/intercensal/state/ST-EST00INT-02.html. Thepopulation for 2010 is from the U.S. Census Bureau 2010 Census and can befound http://www2.census.gov/census_2010/03-Demographic_Profile/Arizona/az2010.dp.zip.The population for 2011 is from the U.S. Census Bureau, State Population Estimates by Age,Sex, Race, and Hispanic Origin for July 1, 2011 released December 2011. This is athttp://www.census.gov/popest/data/state/totals/2011/index.html.The population for 2012 is from the U.S. Census Bureau, Annual Estimates of the ResidentPopulation for the United States, Regions, States, and Puerto Rico: April 1, 2010 to July 1,2012. This is at http://www.census.gov/popest/data/state/totals/2012/tables/NST-EST2012-01.xls .

• The Phoenix population for 2001-2009 is from http://www.census.gov/popest/cities/files/SUB-EST2009_ALL.csv.The population for 2010 is from the U.S. Census Bureau 2010 Census and can befound http://www2.census.gov/census_2010/03-Demographic_Profile/Arizona/az2010.dp.zip.The population for 2011 is from the U.S. Census Bureau, City and Town PopulationEstimates by Age, Sex, Race, and Hispanic Origin for July 1, 2011 released June 2012. Thisis athttp://www.census.gov/popest/data/cities/totals/2011/files/SUB-EST2011_4.csv.The population for 2012 is from the U.S. Census Bureau, Annual Estimates of the ResidentPopulation for Incorporated Places Over 50,000, Ranked by July 1, 2012 Population: April 1,2010 to July 1, 2012. This isat http://factfinder2.census.gov/bkmk/table/1.0/en/PEP/2012/PEPANNRSIP.US12A.

The population estimates used in this report for 2008-2009 are from the U.S. Census and based on the Census 2000 and Census 2010 population. The 2010 decennial census population was used for 2010, and US Census annual population estimates were used for 2011 and 2012. Reports published prior to 2010 used population estimates based only on the Census 2000 population. The population for a community, such as Maricopa County, changes as a result of births, deaths, and migration (moving into or out of the location). Although it is relatively easy to measure the change in population due to births and deaths, it is more difficult to measure the change due to migration. Due to this difficulty, previous reports used an overestimation of the population. Many of the rates shown use population estimates as the denominator (e.g., 50 cases of disease for every 100,000 people). Therefore, a rate that uses an overestimated population will make the disease burden appear smaller than it truly is and vice versa. If

http://www.census.gov/popest/data/intercensal/county/CO-EST00INT-01.html

http://www.census.gov/popest/data/intercensal/county/CO-EST00INT-01.html

http://www2.census.gov/census_2010/03-Demographic_Profile/Arizona/az2010.dp.zip

http://www.census.gov/popest/data/counties/asrh/2011/files/CC-EST2011-6RACE-04.csv

http://www.census.gov/popest/data/counties/asrh/2012/CC-EST2012-ALLDATA.html

http://www.census.gov/popest/data/counties/asrh/2012/CC-EST2012-ALLDATA.html

http://www.census.gov/popest/data/intercensal/state/ST-EST00INT-02.html


http://www.census.gov/popest/data/state/totals/2011/index.html

http://www.census.gov/popest/data/state/totals/2012/tables/NST-EST2012-01.xls

http://www.census.gov/popest/data/state/totals/2012/tables/NST-EST2012-01.xls

http://www.census.gov/popest/cities/files/SUB-EST2009_ALL.csv

http://www.census.gov/popest/cities/files/SUB-EST2009_ALL.csv


http://www.census.gov/popest/data/cities/totals/2011/files/SUB-EST2011_4.csv

http://factfinder2.census.gov/bkmk/table/1.0/en/PEP/2012/PEPANNRSIP.US12A

comparing the rates reported in this report to the rates reported in earlier reports, they may see an increase in the rates for each year. Rates reported in this report are more reliable than rates reported in previous reports for 2001 through 2009.

The intercensal population estimates for 2008-2009 were revised in October 2012 from the originally published numbers in September 2011. The overall total populations for each year were not revised; rather the population totals for specific demographical groups were revised. Therefore, the population numbers published in the 2001-2010 Ten Year Health Trends are different from the population numbers published in this report. The total population rates for 2007-2009 did not change.

This report defines “Hispanic” as all respondents listing Hispanic, either alone or in combination with any race. The Hispanic and American Indian categories in this report are slightly different from previous Maricopa County Health Status Reports. Previously, American Indians who identified their origin as either Hispanic or non-Hispanic were counted as American Indians. In this report, only American Indians who identified their origin as non-Hispanic were placed in the American Indian category. Hence, all individuals whose origin was Hispanic, regardless of race, were placed in the Hispanic group. In order to allow comparisons across years, the same method was used for all years (2008-2012) in this report. The table below shows how the U.S. Census variables of “origin” and “race” are used for categorization in this report.

Table 3.1 Race/Ethnicity Categories Used in This Report Category Used in This Report U.S. Census Code “Race” U.S. Census Code “Origin”

White Race=1 (White Alone) Origin=1 (Non-Hispanic)

African American Race=2 (Black Alone) Origin=1 (Non-Hispanic)

American Indian Race=3 (American Indian or Alaska Native Alone) Origin=1 (Non-Hispanic)

Asian Race=4 (Asian Alone) or 5 (Native Hawaiian or Other Pacific Islander Alone)

Origin=1 (Non-Hispanic)

Multiple Race=6 (Two or More Races) Origin=1 (Non-Hispanic)

Hispanic Race=1,2,3,4,5,6 Origin=2 (Hispanic)

Census data are used to calculate rates for mortality, morbidity, and hospital discharge data. Any crude rate can be calculated by taking the number of events from any table in this report (for mortality, morbidity and hospital discharge) and dividing it by the appropriate age, gender, race/ethnicity, or total population denominator found in Tables 1.01 through 1.10. In tables where rates are shown, “0” means there were no cases in that category. However, when the number “0.0” is shown, it means that there were fewer than .05 deaths per 100,000 residents. Only a couple conditions, Sudden Infant Death Syndrome (SIDS) in the mortality tables and Strep Group B in the morbidity tables are calculated differently. By definition, SIDS deaths and Strep Group B cases only occur in infants; as a result, these numbers are divided by the number of live births (rather than the standard 100,000 residents) to produce a rate per 1,000 live births.

For both mortality and morbidity (communicable disease), rates for some racial/ethnic populations such as American Indians, Asians, and African Americans are high compared to other groups. Because these groups have relatively small populations in Maricopa County (under 200,000 residents as shown in Tables 1.01 through 1.10), these high rates may represent very few deaths/cases. Among small populations, rates are less stable so one case or death can cause a big increase or decrease in the rates. Therefore, it is advisable to examine the actual number of cases or deaths in addition to the rates.

Table 2.14b, does not provide a rate for the category labeled “Other/Unknown Race/Ethnicity.” Since the U.S. Census Bureau does not report data on people of ‘Other/Unknown Race/Ethnicity,’ there is no denominator to use for calculating the rate. Mortality (Death) Statistics Mortality (death) statistics are shown in Tables 2.01a through 2.03b. All data on mortality statistics are from death certificates included in the Arizona Department of Health Services (ADHS) final annual files. The data presented in this report include Maricopa County residents only. This includes Maricopa County residents who died in Maricopa County and residents who died elsewhere. Non-Maricopa County residents who died in Maricopa County are not included. During the course of routine data review, several deaths each year were identified as being in one county even though their city and ZIP codes indicated that they lived in a different county. For these discrepant cases, final classification in this report was based on the address of the resident. (The address is determined by reviewing the street address, city, county, and ZIP code). One death in 2010 was voided and 3 infant deaths in 2011 were found to be fetal deaths and deleted. Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. In Table 2.01a, deaths due to unintentional injury can be found by adding two categories – “motor vehicle collisions” and “all other accidents and adverse effects.” The total for unintentional injuries in this report is higher than the figure reported by ADHS because deaths from “complications of medical and surgical care” are included in this report. This convention follows the national model for classifying unintentional injuries. “Complications of medical and surgical care” include deaths from medical devices, adverse effects related to correct doses of therapeutic medications, and misadventures to patients during surgical or medical care (ICD-10 Y40-Y84, Y88). Table 2.02a presents the number of deaths by year meeting the criteria for ‘complications of medical and surgical care.’ Tables 2.01a through 2.02b show sharp changes in the number and rates of deaths attributed to unintentional falls, unintentional poisonings, and motor vehicle accidents. These sharp changes have resulted in a shift in the order of leading causes of accidental deaths. Historically, motor vehicle accidents have been the most common, but in 2008 it dropped to the third highest rank for Maricopa County residents. These changes may be artifacts of the mortality specification and coding systems and not real changes in the actual incidence of these events or they may be due to changes in the incidence of these events. This decrease in motor vehicle accidents is being seen nationwide. Causes of death due to external events, as opposed to those intrinsically related to disease processes, are subject to many sources of variability:

• Causes of deaths may be translated into International Classification of Diseases, 10th Revision (ICD-1) codes by different method, i.e., electronically or manually

• The medical examiners’ specification of the sequence of the causes of death may change from year to year in systematic, non-random ways

• Changes in NCHS rules regarding the manner, or intentionality, of death may have caused misclassification of intentional injuries, such as suicides, as unintentional, or accidental injuries

Further investigation into the reasons for these changes for the other causes of death is ongoing. Unless otherwise noted, all deaths are attributed to one underlying condition, based on death certificate information, using the rules of the International Classification of Diseases, Tenth Revision (ICD-10). Causes of death are classified by ICD-10 codes. The codes used for each category are listed in Table 3.2 below.

Table 3.2 ICD-10 Codes Used for This Report Cause ICD-10 Codes Used Clostridium difficile A04.7 Salmonella & Other Intestinal Infections A01-A04.6, A04.8-A04.9 A06-A09 Tuberculosis A16-A19 Septicemia A40-A41 Syphilis A50-A53 HIV Disease B20-B24 Viral Hepatitis B15-B19 Coccidioidomycosis B38 Other Mycoses B35-B37, B39-B49 Malignant Neoplasms (Cancer) C00-C97

Malignant Neoplasm of the Lip, Oral Cavity, and Pharynx

C00-C14

Malignant Neoplasm of the Stomach C16 Malignant Neoplasm of the Colon C18-C21 Malignant Neoplasm of the Pancreas C25 Malignant Neoplasm of Bronchus, Lung, or

Trachea C33-C34

Malignant Melanoma of Skin C43 Malignant Neoplasm of the Breast C50 Malignant Neoplasm of the Uterus, Cervix, Ovary C53-C56 Malignant Neoplasm of the Ovary C56 Malignant Neoplasm of the Prostate C61 Malignant Neoplasm of the Testes C62 Malignant Neoplasm of Urinary Organs C64-C68 Malignant Neoplasm of the Meninges, Brain, and

Central Nervous System C70-C72

Non-Hodgkins Lymphoma C82-C85 Leukemia C91-C95 Other Malignant Neoplasms C00-C15, C17, C22-C24, C26-C32,

C37-C49, C51-C52, C57-C60, C62-C63, C69-C81, C88, C90, C96-97

Anemias D56-D64 Diabetes E10-E14 Nutritional Deficiencies E40-E64 Obesity E66 Mental & Behavioral Disorders Due to the Use of Alcohol

F10

Parkinson’s Disease G20-G21 Alzheimer’s G30 Multiple Sclerosis G35 Epilepsy G40-G41 Major Cardiovascular Disease I00-I78

Disease of Heart I00-I09, I11, I13, I20-I51 Hypertensive Heart Disease I11, I13 Ischemic Heart Disease I20-I25 Acute Myocardial Infarction I21-I22 Other Heart Disease I00-I09, I26-I51 Congestive Heart Failure I50 Coronary Heart Disease I11, I20-I25

Primary Hypertension I10, I12

(Table Continues)

Cerebrovascular Diseases I60-I69 Atherosclerosis I70 Other Circulatory I71-I78

Influenza & Pneumonia J10-J18 Chronic Lower Respiratory J40-J47 Emphysema J43 Asthma J45-J46 Peptic Ulcer K25-K28 Liver Disease, including chronic liver disease, cirrhosis, alcoholic liver disease, and other chronic liver disease

K70, K73-K74

Alcoholic Liver Disease K70 Rheumatoid Arthritis M05-M08 Lupus M32 Osteoporosis M80-M81 Nephritis, nephritic syndrome and nephrosis N00-N07, N17-N19, N25-N27 Pregnancy, childbirth, and the puerperium O00-O99 Perinatal Conditions P00-P96 Disorders Related to Short Gestation and Low Birth Weight (LBW)

P07

Congenital Malformations Q00-Q99 Congenital Malformations of the Circulatory System Q20-Q28 Chromosomal Abnormalities Q90-Q99 SIDS (Sudden Infant Death Syndrome) R95 Ill Defined Disease Conditions (Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified, excluding SIDS)

R00-R94, R96-R99

All Other Diseases A00-A09, A20-A49, A54-B19, B25-B99, D00-E07, E15-G25, G31-H93,

I80-J06, J20-J39, J60-K22, K29-K66, K71-K72, K75-M99, N10-N15N20-

N23, N28-N98 Motor Vehicle Collisions V02-V04, V09.0, V09.2, V12-V14,

V19.0 - V19.2, V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1,

V82.0-V82.1, V83-V86, V87.0-V87.8, V88.0-V88.8, V89.0 V89.2

All Other Accidents & Adverse Effects V01, V05-V06, V09.1, V09.3-V09.9, V10-V11, V15-V18, V19.3, V19.8-V19.9, V80.0-V80.2, V80.6-V80.9, V81.2-V81.9, V82.2-V82.9, V87.9,

V88.9, V89.1, V89.3, V89.9 V90-X29, X31-X59, Y40-Y86, Y88

Falls W00-W19 Exposure to Excessive Natural Heat X30 Accidental Poisoning X40-X49 Accidental Drowning (Excludes drowning involving water transportation)

W65-W74

Legal Intervention Y35, Y890 Accidental Discharge of Firearms W32-W34 Discharge of Firearms, Undetermined Intent Y22-Y24 Complications of Medical & Surgical Care (Excludes accidental overdose of a drug or drugs administered in error)

Y40-Y84, Y88

(Table Continues)

(Table 3.2, Continued)

Only the underlying cause of death is used for classification in this report. Although other causes may have contributed to death, the underlying cause of death is the cause that began the disease process that resulted in death. The underlying causes of death chosen for this report are based on the 113 selected causes of death reported by NCHS in their annual report. Due to an increase in the number of deaths due to Clostridium difficile, NCHS has also added this cause of death to their 113 selected causes of death. A few additional causes of death, like coccidioidomycosis, have been selected due to their importance in Arizona.

Tables 2.03a and 2.03b show deaths resulting directly (induced) and indirectly (related) from firearms, drugs, and alcohol. Drugs include prescription medications and illegal substances, regardless of whether use was recreational or medicinal. Tobacco is considered a drug by NCHS. Drug-related deaths are listed both with and without tobacco-related deaths, because tobacco is not often considered to be a drug in the colloquial sense.

Induced deaths refer to cases in which the use of a firearm, drug, or alcohol contributed directly to the cause of death, i.e., death due to an overdose of drugs, or a fatal gunshot injury. Related deaths refer to cases in which the use of a drug or alcohol was listed on the death certificate, but the substance was not necessarily involved in the underlying cause of death, i.e., death due to dehydration resulting from environmental exposure, with chronic drug use noted elsewhere on the certificate.

Firearm, drug, and alcohol induced deaths are also included in a number of other categories, such as suicide, homicide, unintentional injury, etc. For example, a firearm induced death may also be classified as a suicide, homicide, or “other accident or adverse effect.” An alcohol induced death may be attributed to a long or short term effect of alcohol, such as acute alcohol intoxication or alcoholic cardiomyopathy.

In 2010, the Arizona Department of Health Service Office of Vitals Records modified the death certificate to meet the recommendations of the 2003 Standard developed by the National Center for Health Statistics. Two of the changes directly impacted the data presented in this report, deaths due to pregnancy and deaths involving tobacco. Each of these changes will be discussed further below.

The tobacco use question asks if the cause of death is related to tobacco use. The certifier can select “Yes,” “No,” “Probably,” or “Unknown.” If either “Yes” or “Probably” is selected, the death will then have an ICD-10 code for tobacco. This new question caused a sharp increase in the number of deaths that are drug-related including tobacco. This increase is not necessarily due to more deaths being related to tobacco use, but rather by a change in identifying deaths due to tobacco use.

Suicide U03, X60-X84, Y87.0 Homicide U01-U02, X85-Y09, Y87.1 All Other External Causes Y10-Y36, Y87.2, Y89 Unknown Causes No ICD code listed Firearm Related W32-W34, X72-X74, X93-X95, Y22-

Y24, Y35.0 Drug Induced or Related F11.0-F11.5, F11.7-F11.9, F12.0-

F12.5, F12.7-F12.9, F13.0-F13.5, F13.7-F13.9, F14.0-F14.5, F14.7-F14.9, F15.0-F15.5, F15.7-F15.9, F16.0-F16.5, F16.7-F16.8, F17.0, F17.3-F17.5, F17.7-F17.9, F18.0-F18.5, F18.7-F18.9, F19.0-F19.5, F19.7-F19.9, X40-X44, X60-X64,

X85, Y10-Y14 Alcohol Induced or Related F10, G31.2, G62.1, I42.6, K29.2,

K70, R78.0, X45, X65, Y15


The pregnancy status question asks the certifier to select if the female decedent was “Pregnant at time of death,” “Not pregnant but pregnant within 42 days of death,” “Not pregnant but pregnant 43 days to 1 year before death,” or not pregnant. The certifier can also select “Unknown.” In 2010, there was an increase in the number of deaths to women due to pregnancy. The increase is not necessarily due to more pregnancy-related deaths, but rather by a change in identifying deaths of women who were pregnant in the last year prior to death.

Natality (Birth) Statistics

Natality (birth) statistics are shown in Tables 2.04a through 2.05.

All data on natality are from the Arizona Department of Health Services (ADHS) final annual files. The data presented in this report are from birth certificates where the mother’s county of residence is Maricopa County. This includes births that did not occur in Maricopa County. National Center for Health Statistics rules state that if a birth does not occur in the state of residency and the county and city are unknown, the city of residency is assigned to the largest city in the state of residency. For Arizona, the largest city is Phoenix. Therefore, some births that occurred outside of Arizona are included in Maricopa County’s final year end statistics even though the county and city of residence are unknown. For further explanation, please see http://www.cdc.gov/nchs/data/dvs/3amanual.pdf.

During the course of routine data review, several births were identified as being in one county even though their city and ZIP codes indicated that they lived in a different county. For these discrepant cases, final classification in this report was based on the address of the resident. (The address is determined by reviewing the street address, city, county, and ZIP code). Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports.

Adequate prenatal care is based on the Adequacy of Prenatal Care Utilization Index (APCUI)1. This index considers both the timing of prenatal care initiation and the number of visits after care was initiated, comparing the number of actual visits to the number of visits recommended by the American College of Obstetricians and Gynecologists. This index does not describe the quality of the care or adjust for maternal risk factors. Only singleton births (the birth of one baby rather than twins, triplets or other multiple births) are shown in these tables because twins and higher order births are typically higher risk pregnancies, and the index is not appropriate for summarizing their prenatal care usage.

a) Inadequate: Prenatal care began after the fourth month of pregnancy or less than50% of the expected prenatal care visits were attended

b) Intermediate: Prenatal care began before the fourth month and 50 to 70% of theexpected visits were attended

c) Adequate: Prenatal care began prior to the fourth month and 80-109% of expectedvisits were attended

d) Adequate plus: Prenatal care began prior to the fourth month of pregnancy and 110%or more of the expected visits were attended

Infants transferred from Banner Good Samaritan Hospital to Phoenix Children’s Hospital have not been counted as transfers since the two hospitals share facilities, with Phoenix Children’s Hospital providing Neonatal Intensive Care services to infants born at Banner Good Samaritan.

Infant Mortality Statistics

Infant mortality statistics are shown in Tables 2.06a through 2.12b.

Infant mortality statistics shown in this report are from linked and unlinked data as indicated in each table. An explanation of linked and unlinked data is presented below.

1 Kotelchuck, M. An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index, American Journal of Public Health, 1994; 84(9):1414-1420.

http://www.cdc.gov/nchs/data/dvs/3amanual.pdf

The infant mortality rates for older and younger maternal age groups (fewer than 15 and over 45) may be high compared to other groups. These groups have relatively small populations in Maricopa County. Although rates may be high, they may represent only one or two cases in a given category. Therefore, it is advisable to check the raw numbers. The following definitions related to reproductive health have been established by NCHS2:

• Birth or Live Birth3 – The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy or birthweight which, after such expulsion or extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached.

• Fertility Rate – Number of live births during a calendar year per 1,000 women age 15 to

44. • Births to Teenage Mothers − Live births occurring to females under age twenty. • Birth Weight – The weight of a neonate determined immediately after delivery or as soon

thereafter as possible. • Low Birthweight – Any neonate weighing less than 2,500 grams at birth (less than 5

pounds, 8 ounces). • Very Low Birthweight – Any neonate weighing less than 1,500 grams at births (less than

3 pounds, 4 ounces). • Preterm – Any neonate whose birth occurs through the end of the last day of the 37th

week (259th day), following onset of the last menstrual period. • Infant Death – Any death at any time from birth up to, but not including, the first year of

age (<365 days).

• Infant Mortality Rate – Number of infant deaths per 1,000 live births.

• Neonatal Mortality Rate – Number of deaths to infants at or under 28 days of age, per 1,000 live births.

• Postnatal (Postneonatal) Mortality Rate – Number of deaths to infants between 29 days

and 365 days after birth, per 1,000 live births. • Unlinked Infant Mortality – The number of infant deaths in a given calendar year, as

determined from mortality records. • Linked Infant Mortality – Whenever possible, infant death certificate data are linked to

birth certificate information to determine parental, demographic and birth data. Not all infant deaths can be linked (up to 3% are lost to follow-up). In this report, MCDPH created a linked death cohort such that one calendar year of infant death data linked back to the birth data from the current or prior calendar year.

Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 2.13a through 2.15.

2 NCHS guidelines were adopted from those established by the World Health Organization (WHO). 3 The Arizona statute defining a live birth follows this definition.

The data presented in this report include communicable diseases to residents of Maricopa County. This includes Maricopa County residents who acquired a disease in Maricopa County and residents who acquired a disease elsewhere. Non-Maricopa County residents are not included, even if they acquired a disease in Maricopa County. Other reports or press releases may show different morbidity rates because they include non-residents who acquired disease in Maricopa County or they exclude residents who were exposed outside of the county. For Hansen’s disease only, tables include residents from various counties in Arizona, regardless of where the disease was acquired.

All data on communicable diseases are new cases for each specific year from the ADHS final annual data files. There are several exceptions: data on genital herpes, gonorrhea, Chlamydia, syphilis, and Hansen’s disease are from MCDPH data files.

Data on tuberculosis, STDs, HIV, and AIDS may differ from other reports published by MCDPH and ADHS. Data on these diseases are in databases that may have been updated during the time between reports.

Communicable disease data include only confirmed and probable cases, with the exception of: norovirus, RSV, Hansen’s disease, tuberculosis, genital herpes, gonorrhea, syphilis, chlamydia, and HIV/AIDS. Data for norovirus, RSV, tuberculosis, genital herpes, gonorrhea, syphilis, chlamydia, and HIV/AIDS includes only confirmed cases. Data for Hansen’s disease includes all known “active” cases of Hansen’s disease in Maricopa County, diagnosed between 1955 and 2012. To be considered “active,” the prevalent cases being treated, managed, and followed-up at MCDPH and the Hansen’s disease clinic have to be seen by a Hansen’s disease physician, physical therapist, or occupational therapist within the past five years. This includes all confirmed, suspect, and probable cases diagnosed in Maricopa County, including diagnoses to non-county residents, as mentioned earlier. Other reports or releases may show different prevalence rates, as validation of past data revealed cases that were no longer “active,” causing a drop in the number of “active” cases between the 2007-2011 five-year trend report and the current 2008-2012 five-year trend report.

Primary and secondary syphilis are shown as “Syphilis-Primary and Secondary.” The “Syphilis - All others” category includes latent and congenital syphilis. These two categories can be added to determine the total number of syphilis cases. Congenital syphilis details may be found in Tables 2.14a and 2.14b.

All communicable disease statistics in this report are new cases for each specified year (incidence). The only exception is Hansen’s disease for which the prevalence (all existing “active” cases from all years) is shown.

Data can be classified by date of onset, date of diagnosis or date of report to the health department. All diseases/conditions listed in this report are classified by the date of report to the health department. The only exceptions are HIV, AIDS, and Hansen’s disease which are classified by the date of diagnosis.

The category “Encephalitis Viral Other” includes St. Louis encephalitis and all other types of viral encephalitis except for West Nile virus. This may differ somewhat from other reports that include only certain types of encephalitides.

Comparison of hepatitis B cases from 2008-2012 to previous years will show a decrease in the total number of cases. This decrease is most likely due to changes in the investigation of the disease and not due to a change in the communicability of the disease in Maricopa County.

A sharp decrease in the number of reported cases of genital herpes occurred in 2009. A review of the cases indicated a large decrease in the number of laboratory reported cases. Although no explanation for this decrease has been identified, it is not believed to be due to an actual decrease in the incidence of disease in the community.

In Tables 2.13a and 2.13b, the category labeled “All Others” includes all reportable diseases in the ADHS communicable disease database that are not listed previously on the table.

Beginning in April 2008, two diseases were added to the list of diseases that medical providers and laboratories must report: norovirus and respiratory syncytial virus (RSV). No counts exist for years earlier than 2008. Counts for RSV are much lower in 2008 because the number of RSV cases usually peak around January or February and reporting did not begin until April, which was after the peak.

Hospital Discharge Statistics

Hospital Discharge statistics are shown in Tables 2.16a through 2.17b.

Hospital Discharge Data (HDD) is submitted by Arizona Hospitals to Arizona Department of Health Services (ADHS). Data is submitted by half years, with the first half (January 1 – June 30) is due August 15 of the same year and the second half (July 1 – December 31) is due by February 15th of the following year. ADHS then prepares the data for public release and the data are released between 3 and 6 months after collection. This dataset only contains hospitalizations from facilities within the state of Arizona. Hospitalizations of Maricopa Residents that occur outside of Arizona are not captured.

HDD provides an address for each patient but does not include information about the county of residence. In order to select Maricopa County Residents, an algorithm was derived to determine residence based on city, state, and ZIP code. The list of cities and ZIP codes within Maricopa County are based on a national ZIP code database that is updated regularly with new ZIP codes and cities (U.S. ZIP code Database – Business version from: http://www.zip-codes.com/zip-code-database.asp). The algorithm is available by contacting the Office of Epidemiology by email at [email protected].

All federal, state, military, and Department of Veteran Affairs’ hospitals are excluded. No behavioral health hospitals reported data during this time period. Long-term acute care (LTAC) and rehabilitation hospitals are excluded from this report because patients in these settings are usually transferred from another facility to the LTAC or rehabilitation hospital and have an average stay of 25 days or longer.

Hospitalization Discharges represent the number of discharges from facilities within Arizona during a calendar year and are not unique patients. Therefore, if a person is hospitalized multiple times in a calendar year, that person will be represented multiple times in the dataset. Additionally, there is the probability that one patient may have two or more billing discharges for the same hospital encounter as a result of transfers between facilities and/or transfers between units of the same facility.

In HDD, ICD-9-CM codes are used to identify the reasons for hospitalization. These codes are then grouped into categories for analysis. For this report, only the primary diagnosis codes are analyzed. Records without a primary diagnosis code or with an unknown code are classified as unknown.

Table 3.3 ICD-9-CM Codes Used for This Report

Category of Principal Diagnoses ICD-9-CM Code Infectious and parasitic diseases 001–139

Septicemia 38 Neoplasms 140–239

Malignant neoplasms 140–208,230–234 Malignant neoplasm - large intestine & rectum 153–154,197.5 Malignant neoplasm - trachea, bronchus, & lung 162,176.4,197.0,197.3

(Table Continues)

http://www.zip-codes.com/zip-code-database.asp

http://www.zip-codes.com/zip-code-database.asp

Category of Principal Diagnoses ICD-9-CM Code Malignant neoplasm - breast 174–175,198.81

Benign neoplasms 210–229 Endocrine, nutritional & metabolic diseases, & immunity disorders 240–279

Diabetes mellitus 250 Volume depletion (dehydration) 277

Diseases of the blood and blood-forming organs 280–289 Mental disorders 290–319

Psychoses 290–299 Alcohol dependence syndrome 303

Diseases of the nervous system and sense organs 320–389 Diseases of the circulatory system 390–459

Heart disease 391–392.0,393–398,402,404,410–

416,420–429 Acute myocardial infarction 410 Coronary atherosclerosis 414 Other ischemic heart disease 411–413,414.1–414.9 Cardiac dysrhythmias 427 Congestive heart failure 428.0 Cerebrovascular disease 430–438

Diseases of the respiratory system 460–519 Acute bronchitis and bronchiolitis 466 Pneumonia 480-486 Chronic bronchitis 491 Asthma 493

Diseases of the digestive system 520-579 Appendicitis 540–543 Noninfectious enteritis and colitis 555–558 Cholelithiasis 574

Diseases of the genitourinary system 580–629 Calculus of kidney and ureter 592

Complications of pregnancy, childbirth, and the puerperium 630–677 Diseases of the skin and subcutaneous tissue 680–709

Cellulitis and abscess 681–682 Diseases of the musculoskeletal system and connective tissue 710–739

Osteoarthrosis and allied disorders 715 Intervertebral disc disorders 722

Congenital anomalies 740–759 Certain conditions originating in the perinatal period 760–779 Symptoms, signs, and ill-defined conditions 780–799 Injury and poisoning 800–999

Fractures, all sites 800–829 Fracture of neck of femur 820

Poisonings 960–989 Other healthcare encounters 990–999


More Information

For more information on population and health statistics, please visit the following websites:

• Maricopa County Department of PublicHealth: http://www.maricopa.gov/publichealth/default.aspx

• Arizona Department of Health Services: www.hs.state.az.us• Centers for Disease Control and Prevention, National Center for Health

Statistics: www.cdc.gov/nchs• United States Census Bureau: www.census.gov

http://www.hs.state.az.us/

http://www.cdc.gov/nchs

http://www.census.gov/

five year trends - maricopa

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